Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jody Long, LPA, LCAS, CCS

Individual provider Clinical Psychologist · NPI 1386035814

Jody Long, LPA, LCAS, CCS is a Clinical Psychologist in Wilmington, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
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Practice location Address checks out

116 Elliott Dr
Wilmington, NC 28405-8433
Phone: (910) 623-0605
Fax: (910) 338-0495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4690 (NC)

Record details

NPI number1386035814
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPA , LCAS , CCS
Sole proprietorYes
NPI enumeratedFebruary 5, 2015
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022

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