Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN BRAXTON LONG, LCSW-A
Active Sole ProprietorJONATHAN BRAXTON LONG, LCSW-A is a Clinical Social Worker healthcare provider located in CONCORD, North Carolina. NPI 1053047753 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CONCORD, NC
Registration Details
- NPI Number
- 1053047753
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2022 (3.8661137221889 yrs)
- Last Updated
- Jul 26, 2022
- License
-
P016657 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
280 EXECUTIVE PARK DR STE 100CONCORD, NC, 280251838Browse NC providers · Browse ZIP 28025
- Phone
- 9802374766
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in CONCORD, NC
| Name | Credential | NPI |
|---|---|---|
| CAROL YVONNE POOLE RITCHIE | LCSW | 1891762522 |
| MRS. CAROLYN FRANZESE PHILLIPS | MSW, LCSW | 1336109511 |
| MRS. EMILY GRIFFIN MCPEAK | LCSW, LCAS, CCS | 1992746549 |
| DARLENE GRIFFITH | — | 1528088176 |
| DAVID L. NICKELSON | M.S.W., L.C.S.W. | 1619081486 |
| MS. ANGELA DEVONNE BARRETT | MSW | 1457457350 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.