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DR. JACK MARTIN LONG PH.D.
NPI 1447296629
Social Worker - Clinical in Catonsville, MD

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
720C MAIDEN CHOICE LN, CATONSVILLE, MD 21228(410) 744-5499(410) 455-0894 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Martin Long Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK MARTIN LONG PH.D. (NPI 1447296629) is an individual clinical provider in Catonsville, Maryland, licensed in Maryland (03068) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1447296629
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. JACK MARTIN LONGCredential: PH.D.
Location Address720C MAIDEN CHOICE LNCatonsville, MD 21228-5940
Mailing Address720 Maiden Choice Ln, Suite CCatonsville, MD 21228-5940 · (410) 744-5499 · Fax (410) 455-0894
Phone(410) 744-5499
Fax(410) 455-0894
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJune 22, 2006
Last NPPES UpdateDecember 12, 2011
✔ NPI 1447296629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 03068
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
720C MAIDEN CHOICE LN, Catonsville, MD 21228
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Other Identifiers 6

Medicare ID-Type UnspecifiedQ292JMMD
OtherR7610001MD · Bc/bs Federal
Medicaid755011100MD
Other276629MD · Mamsi
OtherR7610001MD · Blue Choice
OtherQ292JMMD · Blue Cross/ Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Martin Long Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517131808
PECOS Enrollment IDI20111220000746
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
91 services16 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
82 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHEILA MCDANIEL SEVIDAL LCSW-C
Social Worker (Clinical)
720C MAIDEN CHOICE LN
BALTIMORE, MD 21228
Baltimore County (410) 744-1116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Long's NPI number?

The NPI number for Jack Long is 1447296629. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Jack Long located?

Jack Long practices at 720C Maiden Choice Ln, Catonsville, MD 21228. The listed phone number is (410) 744-5499.

What is Jack Long's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jack Long enrolled in Medicare?

Yes. Jack Long is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jack Long accept?

Health plans from Providence Health Plan list Jack Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Long was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.