IndividualActive
Jessica Long, LCSW
NPI 1194173856 · Clinical Social Worker · Boring, OR
Provider details
- NPI number
- 1194173856
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- L6711 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
14330 Se 312th Dr
Boring, OR 97009-8020
Phone: (503) 215-9843
Approximate (ZIP-level) locationGet directions
Mailing address
14330 Se 312th Dr
Boring, OR 97009-8020
Registry dates
- Enumerated
- 2016-06-02
- Last updated
- 2025-03-09
- Certified
- 2025-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.