National Provider Identifier
Shelly Long, LCSW-R
Shelly Long, LCSW-R is listed in the NPPES registry with a primary specialty of Social Worker in Elmira, NY and a listed phone number of (607) 733-5696.
Profile Overview
- NPI
- 1386833275
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- October 17, 2007
- Last Updated
- December 23, 2014
Practice Location
- 1019 E Water St
- Elmira, NY 14901-3332
Phone: (607) 733-5696
Mailing Address
- 77 E. 1St Street
- Corning, NY 14830
Specialties
- Social Worker (104100000X)
- Social Worker (104100000X)
Full Record
- NPI
- 1386833275
- Entity Type
- Individual
- Last Name
- Long
- First Name
- Shelly
- Name Prefix
- Mrs.
- Credential
- LCSW-R
- Mailing Street Address
- 77 E. 1St Street
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830
- Mailing Country
- US
- Mailing Phone
- (607) 936-1771
- Practice Street Address
- 1019 E Water St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3332
- Practice Country
- US
- Practice Phone
- (607) 733-5696
- Enumeration Date
- October 17, 2007
- Last Updated
- December 23, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Social Worker (104100000X)