IndividualActive
Sondra Long, LCSW
NPI 1871588178 · Clinical Social Worker · Patrick Afb, FL
Provider details
- NPI number
- 1871588178
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- License
- SW 4492 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1381 S Patrick Dr
Bldg 1370 Life Skills Support Center 45 Mdos Sgoh
Patrick Afb, FL 32925-3606
Phone: (321) 494-8234
Fax: (321) 494-8074
Approximate (ZIP-level) locationGet directions
Mailing address
730 Fairway Dr
Melbourne, FL 32940-7020
Registry dates
- Enumerated
- 2005-09-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.