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

Kelly Anne Long

Individual provider Clinical Social Worker · NPI 1154423937

Kelly Anne Long is a Clinical Social Worker in Bloomington, Illinois. Qualified in 2006, 20 years ago. Practices with Thriveworks Clinical - Illinois, a 45-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
20
Licensed in
IL
In the registry since
2006
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Practice location Address checks out

108 W Market St
Bloomington, IL 61701-3918
Phone: (309) 827-5351
Fax: (309) 829-6808
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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 149027456 (IL)

Record details

NPI number1154423937
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 2, 2006
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Thriveworks Clinical - Illinois — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bloomington