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

Individual provider Mental Health Counselor · NPI 1528157443

Jo Mary Long, LICSW is a Clinical Social Worker in Westport, Massachusetts. Qualified in 1990, 36 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
36
Licensed in
MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

519 American Legion Hwy Ste 2
Westport, MA 02790-4100
Phone: (508) 636-6423
Fax: (508) 636-8041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1021707 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 1021707 (MA)

Record details

NPI number1528157443
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 11, 2006
Last updated in NPPESApril 2, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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