NPI 1073271078

Janika Long

Practitioner Clinical Social Worker Evanston, WY

Practice location

Address: 350 City View Dr STE 206, Evanston, WY 82930-5326
Phone: (307) 789-7915
Fax: (307) 789-6009

Registered specialties (3)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-1136 (WY)

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1073271078
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2021
Record last updated: 5 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.