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VAKENDALL V LONG LCSW
NPI 1912401415
Social Worker - Clinical in Memphis, TN

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
951 COURT AVE, MEMPHIS, TN 38103(901) 567-3554(901) 567-3559 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vakendall V Long Lcsw NPPES

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

VAKENDALL V LONG LCSW (NPI 1912401415) is an individual clinical provider in Memphis, Tennessee, licensed in Tennessee (6501) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1912401415
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameVAKENDALL V LONGCredential: LCSW
Location Address951 COURT AVEMemphis, TN 38103-2813
Mailing Address2220 Union AveMemphis, TN 38104-4315 · (901) 567-3554
Phone(901) 567-3554
Fax(901) 567-3559
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 20, 2018
✔ NPI 1912401415 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 TN · 6501
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.
951 COURT AVE, Memphis, TN 38103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vakendall V Long Lcsw 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 ID1153672571
PECOS Enrollment IDI20260407000470
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.

Medicare Billing Reassignment

Medicare enrollment records show Vakendall Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
871 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Mississippi enrollment
  • 52 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38103 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 $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 20

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

MELINDA DUNAVANT
Nurse Practitioner (Psychiatric/Mental Health)
951 COURT AVE
MEMPHIS, TN 38103
Shelby County (901) 577-1800
MS. DANIELLE JANAE RHODES TLPC-MHSP
Counselor (Professional)
951 COURT AVE
MEMPHIS, TN 38103
Shelby County (901) 577-9400
PATRICIA ANN PEARCE LCSW
Social Worker (Clinical)
951 COURT AVE
MEMPHIS, TN 38103
Shelby County (901) 577-1805
BRETT ANDREW GEORGE M.D.
Psychiatry & Neurology (Psychiatry)
951 COURT AVE
MEMPHIS, TN 38103
Shelby County (901) 577-1800
LEIBERH NOEL DIAZ MD
Psychiatry & Neurology (Addiction Psychiatry)
951 COURT AVE
MEMPHIS, TN 38103
Shelby County (901) 249-0924
DR. DARREL LENARD WILSON M.D.
Psychiatry & Neurology (Psychiatry)
951 COURT AVE
MEMPHIS, TN 38103
Shelby County (901) 577-1800
MS. TRACI BROWN ABRAM
Nurse Practitioner (Family)
951 COURT AVE
MEMPHIS, TN 38103
Shelby County (901) 577-2826
CHADWICK GOLDEN MSW
Social Worker
951 COURT AVE
MEMPHIS, TN 38103
Shelby County (901) 567-3554

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 Vakendall Long's NPI number?

The NPI number for Vakendall Long is 1912401415. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Vakendall Long located?

Vakendall Long practices at 951 Court Ave, Memphis, TN 38103. The listed phone number is (901) 567-3554.

What is Vakendall Long's specialty?

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

Is Vakendall Long enrolled in Medicare?

Yes. Vakendall 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.

Which organization bills Medicare for Vakendall Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vakendall Long reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vakendall Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vakendall Long was last updated on March 20, 2018. 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.