Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1932612017 Deactivated / Inactive NPI Male Practitioner

Gregory Long

Social Worker • Bridgeport, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gregory Long has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 10, 2017
NPI Deactivation Date August 30, 2018
Total Practice Duration ~1 Years of Practice (2017 – 2018)

Professional Overview & Biography Verified Profile Summary

Gregory Long was a registered Social Worker practicing in Bridgeport, CT. Throughout an active medical career spanning 1 years, Gregory Long provided care at the practice location at 170 BENNETT ST until profile deactivation on 2018-08-30.

Practice Location & Contact Primary Location

Practice Address

170 Bennett St

Bridgeport, CT 066052901

Telephone 2033306756
Associated Practice Facility / Clinic
🏢 Boys & Girls Village Facility NPI 1932584570

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Bridgeport, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
94 Specialists

Practicing in Bridgeport, CT (2159 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License CT 3640

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lauren Roche , MA

Marriage & Family Therapist

NPI 1003341017

Master of Arts

Paula Dodge , MSW

Social Worker - Clinical

NPI 1053714832

Master of Social Work

Robert Preli , MA, MFT

Marriage & Family Therapist

NPI 1063864890

Master of Arts, Marriage and Family Therapist

Leniz Orozco , MED

Counselor - Mental Health

NPI 1083388979

Master of Education

Viviana Bulls , MS

Counselor - Professional

NPI 1093397101

Master of Science

Marie Justo

Case Manager/Care Coordinator

NPI 1104698026

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 30, 2018

Record deactivated on August 30, 2018

NPI Profile Active November 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2017

Registered at 170 BENNETT ST, BRIDGEPORT, CT 066052901 (Tel: 2033306756)

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Updated Business Mailing Address November 10, 2017

Registered at 170 BENNETT ST, BRIDGEPORT, CT 066052901

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Provider Name / Credentials Updated November 10, 2017

Recorded as GREGORY LONG

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2017

Social Worker (License #3640 in CT)

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Initial NPI Registration & Enumeration November 10, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932612017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2017
Last Update: November 10, 2017
Deactivation Date: August 30, 2018

Mailing Address

170 Bennett St

Bridgeport, CT 066052901

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.