Longo, Jenniffer A

Longo, Jenniffer A is an individual health care provider with primary practice located at 410 Windward Way , Kalispell MT 59901. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Longo, Jenniffer A can be contacted via phone (406) 751-8331.

Contact Information

Primary practice address
410 Windward Way Kalispell MT 59901
Phone: (406) 751-8331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 37207 Montana
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1922363068
LBN Legal business name Longo, Jenniffer A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2012
Last updated Mar 11th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922363068 NPPES
Oregon Other A3419 STATE OF OREGON STATE BOARD OF LICENSED SOCIAL WORKERS

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