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

Mrs. Carolyn Tyrease Long-Bane, LCSW

Individual provider Clinical Social Worker · NPI 1215028741

Mrs. Carolyn Tyrease Long-Bane, LCSW is a Clinical Social Worker in Wake Forest, North Carolina. Licensed in North Carolina and Virginia. Registered with an NPI since 2006.

Licensed in
NC, VA
In the registry since
2006
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

1906 S Main St Ste 120
Wake Forest, NC 27587-5033
Phone: (919) 562-1080
Fax: (919) 570-3243
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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 C004810 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904001830 (VA)

Record details

NPI number1215028741
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESOctober 23, 2018
Mailing address2601 Dyking Rd, Kittrell, NC 27544-8912

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