Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ANNE LONG
Active Sole ProprietorKELLY ANNE LONG is a Clinical Social Worker healthcare provider located in BLOOMINGTON, Illinois. NPI 1154423937 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1154423937
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 2, 2006 (19.925645212725 yrs)
- Last Updated
- Mar 18, 2025
- License
-
149027456 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
108 W MARKET STBLOOMINGTON, IL, 617013918Browse IL providers · Browse ZIP 61701
- Phone
- 3098275351
- Fax
- 3098296808
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. JANET RECKARD | LCSW, ACSW | 1942275458 |
| JEANETTE LOIS ROBERTS | L.C.S.W. | 1912932641 |
| MS. JOHANNA RAYMAN | LCSW | 1083635890 |
| MRS. MERRIE J SEIP | LCSW | 1699882332 |
| ANN L JANES | — | 1487766861 |
| ERIN RUTH SILANSKIS | — | 1760584932 |
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.