Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christy Long, LCSW, SUDC

Individual provider Clinical Social Worker · NPI 1902228232

Christy Long, LCSW, SUDC is a Clinical Social Worker in Provo, Utah. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho and Utah.

Years since qualifying
4
Licensed in
ID, UT
In the registry since
2014
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3651 N 100 E Ste 350
Provo, UT 84604-4567
Phone: (208) 258-5460
Fax: (417) 794-1186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2995 N Cole Rd Ste 225, Boise, ID 83704-5966 — (208) 258-5460

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9045497-3501 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2061976 (ID)

Record details

NPI number1902228232
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , SUDC
Sole proprietorYes
NPI enumeratedJanuary 6, 2014
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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