W. Michelle Long, Lcsw, Professional Limited Liability Company - Medicare Mental Health Clinic in Crestview, FL

W. Michelle Long, Lcsw, Professional Limited Liability Company is a medicare enrolled mental health clinic (Social Worker - Clinical) in Crestview, Florida. The current practice location for W. Michelle Long, Lcsw, Professional Limited Liability Company is 502 E 2nd Ave, Crestview, Florida. For appointments, you can reach them via phone at (850) 547-6922. The mailing address for W. Michelle Long, Lcsw, Professional Limited Liability Company is 502 E 2nd Ave, Crestview, Florida and phone number is (850) 547-6922.

W. Michelle Long, Lcsw, Professional Limited Liability Company is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366121840. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (850) 547-6922.

Contact Information

W. Michelle Long, Lcsw, Professional Limited Liability Company
502 E 2nd Ave
Crestview
FL 32536
(850) 547-6922
Not Available

Mental Health Clinic Profile

Full NameW. Michelle Long, Lcsw, Professional Limited Liability Company
SpecialitySocial Worker
Location502 E 2nd Ave, Crestview, Florida
Authorized Official Name and PositionWanda Michelle Long (LCSW)
Authorized Official Contact8505476922
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
W. Michelle Long, Lcsw, Professional Limited Liability Company
502 E 2nd Ave
Crestview
FL 32536

Ph: (850) 547-6922
W. Michelle Long, Lcsw, Professional Limited Liability Company
502 E 2nd Ave
Crestview
FL 32536

Ph: (850) 547-6922

NPI Details:

NPI Number1366121840
Provider Enumeration Date07/12/2023
Last Update Date07/12/2023
Certification Date07/12/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2466803143
Medicare Enrollment IDO20240106000285

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Medical Identifiers

Medical identifiers for W. Michelle Long, Lcsw, Professional Limited Liability Company such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366121840NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. W. Michelle Long, Lcsw, Professional Limited Liability Company acts as a billing entity for following providers:
Provider NameWanda Michelle Long
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730661935
PECOS PAC ID: 9234476326
Enrollment ID: I20240106000308

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Social Worker in Crestview, FL

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Ppcc, Inc.
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Medicare: Medicare Enrolled
Practice Location: 259 E Oakdale Ave, Crestview, FL 32539
Phone: 850-398-5255    Fax: 850-689-8799
Solaris Counseling Services, Llc
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Practice Location: 721 Ashley Dr, Crestview, FL 32536
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