Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLARD TRUMAN LONG JR., MSW LGSW LCSWA
ActiveMR. WILLARD TRUMAN LONG JR., MSW LGSW LCSWA is a Clinical Social Worker healthcare provider located in MONTGOMERY, West Virginia. NPI 1902350275 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MONTGOMERY, WV
Registration Details
- NPI Number
- 1902350275
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2016 (10.073038160631 yrs)
- Last Updated
- Mar 12, 2020
- Licenses
-
BP02940160 (WV)P013072 (NC)
Practice Information
- Address
-
410 FERRY STMONTGOMERY, WV, 25136Browse WV providers · Browse ZIP 25136
- Phone
- 3045536218
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
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.