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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871051409

Tre Addison Long, LCSW is a Student in an Organized Health Care Education/Training Program in Fort Campbell, Kentucky. Licensed in Utah. Registered with an NPI since 2019.

Licensed in
UT
In the registry since
2019
Specialties on file
3
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

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (931) 624-7808
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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 13768256-3501 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1871051409
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 2, 2019
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024
Mailing address1724 Hazelwood Rd, Clarksville, TN 37042-8535

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