Provider Demographics
NPI:1952527194
Name:LONG, JAMES A JR (LCSW)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:LONG
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6 NAUGHRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-5610
Mailing Address - Country:US
Mailing Address - Phone:973-584-1370
Mailing Address - Fax:908-979-1129
Practice Address - Street 1:6 NAUGHRIGHT RD
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-5610
Practice Address - Country:US
Practice Address - Phone:973-584-1370
Practice Address - Fax:908-979-1129
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045525001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ854026Medicare ID - Type Unspecified