TRE' ADDISON LONG LCSW
NPI 1871051409
Social Worker - Clinical in Fort Campbell, KY

Q: What is Tre' Long's NPI number?

The NPI number for Tre' Long is 1871051409. It was assigned to this individual provider in the NPPES registry on March 2, 2019.

Q: What is Tre' 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 Tre' Long was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 02, 2019

650 JOEL DR, FORT CAMPBELL, KY 42223(931) 624-7808 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, Jun 17, 2020, Mar 2, 2019 (3 updates tracked since 2019).

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About Tre' Addison Long Lcsw NPPES

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

TRE' ADDISON LONG LCSW (NPI 1871051409) is an individual clinical provider in Fort Campbell, Kentucky, licensed in Utah (13768256-3501) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1871051409

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameTRE' ADDISON LONGCredential: LCSW

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address1724 Hazelwood RdClarksville, TN 37042-8535 · (931) 624-7808

Phone(931) 624-7808

Sole ProprietorNo

Enumeration DateMarch 2, 2019

Last NPPES UpdateApril 8, 20243 updates tracked since enumeration

NPPES CertifiedApril 8, 2024

✔ NPI 1871051409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in UT · 13768256-3501

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

650 JOEL DR, Fort Campbell, KY 42223

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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.

LISA RENEE CORDELL RN

Registered Nurse