IndividualActive
Amy Long, LCSW
NPI 1710749700 · Clinical Social Worker · Bunnell, FL
Provider details
- NPI number
- 1710749700
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- SW22651 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
301 Justice Ln
Bunnell, FL 32110-4487
Phone: (386) 236-3126
Approximate (ZIP-level) locationGet directions
Mailing address
301 Justice Ln
Bunnell, FL 32110-4487
Registry dates
- Enumerated
- 2024-01-25
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.