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

Theodore Long

Individual provider Clinical Social Worker · NPI 1992045454

Theodore Long is a Clinical Social Worker in Vacaville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

2100 Peabody Rd
Vacaville, CA 95687-6639
Phone: (707) 451-0182
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 25432 (CA)

Record details

NPI number1992045454
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 20, 2013
Last updated in NPPESFebruary 20, 2013
Mailing addressPo Box 4000, Vacaville, CA 95696-4000

Other providers in Vacaville