MR. BRAD LONG CSW
NPI 1750660023
Social Worker - Clinical in Providence, KY

Q: What is Brad Long's NPI number?

The NPI number for Brad Long is 1750660023. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Q: What is Brad Long's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brad Long was last updated on December 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 04, 2011

215 E MAIN ST, PROVIDENCE, KY 42450(270) 667-7017(270) 667-9065 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Mr. Brad Long Csw NPPES

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

MR. BRAD LONG CSW (NPI 1750660023) is an individual clinical provider in Providence, Kentucky and active in the NPI registry since August 2011. He maintains a secondary practice location in Olathe.

NPPES Registry Identity

NPI1750660023

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. BRAD LONGCredential: CSW

Location Address215 E MAIN STProvidence, KY 42450-1261

Mailing AddressPo Box 37Providence, KY 42450-0037 · (270) 667-7017 · Fax (270) 667-9065

Phone(270) 667-7017

Fax(270) 667-9065

Sole ProprietorNo

Enumeration DateAugust 4, 2011

Last NPPES UpdateDecember 8, 2017

✔ NPI 1750660023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

215 E MAIN ST, Providence, KY 42450

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Secondary Practice Location 1

Location 121350 W 153rd StOlathe, KS 66061-5413 · Phone (913) 322-2400 · Fax (913) 621-5730

Other Providers at the Same Location NPPES 20

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

MRS. KIMBERLY ANN JACKSON ARNP

Nurse Practitioner (Women's Health)