Provider Demographics
NPI:1740386481
Name:LONG, MARY CATHARINE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:CATHARINE
Last Name:LONG
Suffix:
Gender:
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:CATHARINE
Other - Last Name:GUICHENEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:583 J R PATE ROAD
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28714
Mailing Address - Country:US
Mailing Address - Phone:803-325-4388
Mailing Address - Fax:704-331-0859
Practice Address - Street 1:129 SKYVIEW CIR.
Practice Address - Street 2:RHA BEHAVIORAL HEALTH
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777
Practice Address - Country:US
Practice Address - Phone:828-765-0894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC15088OtherPROVIDER NUMBER