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PAMELA CARLSON LONG MSW
NPI 1700574092
Social Worker - Clinical in Bettendorf, IA

Active since April 25, 2023Opted out of Medicare · through Oct 30, 2026
2550 MIDDLE RD STE 602, BETTENDORF, IA 52722(563) 265-1529 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pamela Carlson Long Msw NPPES

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

PAMELA CARLSON LONG MSW (NPI 1700574092) is an individual clinical provider in Bettendorf, Iowa, licensed in Iowa (080434) and active in the NPI registry since April 2023. She has opted out of Medicare through October 30, 2026.

NPPES Registry Identity

NPI1700574092
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePAMELA CARLSON LONGCredential: MSW
Location Address2550 MIDDLE RD STE 602Bettendorf, IA 52722-3289
Mailing Address2706 N Fillmore StDavenport, IA 52804-1833 · (309) 714-1520
Phone(563) 265-1529
Sole ProprietorYes
Enumeration DateApril 25, 2023
Last NPPES UpdateApril 28, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1700574092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IA · 080434✔ Licensed in IL · 149002897
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.
2550 MIDDLE RD STE 602, Bettendorf, IA 52722
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Pamela Carlson Long Msw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 30, 2024 through October 30, 2026.

Opt-Out Effective DateOctober 30, 2024
Opt-Out In Effect ThroughOctober 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

MRS. KERRY J GOLDSBERRY LISW
Social Worker (Clinical)
2550 MIDDLE RD STE 602
BETTENDORF, IA 52722
Scott County (563) 265-1529

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 Pamela Long's NPI number?

The NPI number for Pamela Long is 1700574092. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Pamela Long located?

Pamela Long practices at 2550 Middle Rd Ste 602, Bettendorf, IA 52722. The listed phone number is (563) 265-1529.

What is Pamela Long's specialty?

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

Is Pamela Long enrolled in Medicare?

No. Pamela Long has opted out of Medicare through October 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Pamela Long was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.