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PATRICIA DIANE LONG-BROHM MSW, LICSW
NPI 1770527616
Social Worker - Clinical in Seattle, WA

Active since June 15, 2006Opted out of Medicare · through Apr 1, 2027
4215 SW SULLIVAN ST, SEATTLE, WA 98136(785) 865-9645 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Patricia Diane Long-brohm Msw, Licsw NPPES

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

PATRICIA DIANE LONG-BROHM MSW, LICSW (NPI 1770527616) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW60503508) and active in the NPI registry since June 2006. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1770527616
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePATRICIA DIANE LONG-BROHMCredential: MSW, LICSW
Location Address4215 SW SULLIVAN STSeattle, WA 98136-2365
Mailing Address6523 California Ave Sw # B177Seattle, WA 98136-1833 · (785) 865-9645
Phone(785) 865-9645
Sole ProprietorYes
Enumeration DateJune 15, 2006
Last NPPES UpdateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
✔ NPI 1770527616 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 WA · LW60503508✔ Licensed in MN · 20819
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.
4215 SW SULLIVAN ST, Seattle, WA 98136
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Other Names 1

Former Name (1)Patricia Long Msw, Licsw

Other Identifiers 1

Other32655011KS · Bcbs Of Kc

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Patricia Diane Long-brohm Msw, Licsw 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 April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Patricia Long-brohm's NPI number?

The NPI number for Patricia Long-brohm is 1770527616. It was assigned to this individual provider in the NPPES registry on June 15, 2006. The provider is also known as Patricia Long Msw, Licsw.

Where is Patricia Long-brohm located?

Patricia Long-brohm practices at 4215 SW Sullivan St, Seattle, WA 98136. The listed phone number is (785) 865-9645.

What is Patricia Long-brohm's specialty?

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

Is Patricia Long-brohm enrolled in Medicare?

No. Patricia Long-brohm has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Patricia Long-brohm accept?

Health plans from PacificSource Health Plans list Patricia Long-brohm 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 Patricia Long-brohm was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.