Doctor Name: | JOHN M LONGO |
NPI Number: | 1104869973 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 1132 |
Business Practice Address: | 5 Market Sq Suite 203 Amesbury, MA - 019132497 |
Business Phone Number: | 9783888054 |
Business Fax Number: | 9783888033 |
Mailing Address: | 5 Market Sq, Suite 203 AMESBURY |
State: | MA |
Postal Code: | 019132497 |
Phone Number: | 9783888054 |
Fax Number: | 9783888033 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1132 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |