CHRISTY LONG (LCSW, SUDC) – Case Manager/Care Coordinator, NPI 1902228232
Case Manager/Care Coordinator
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
633 CLINICAL SOCIAL WORKER in ID
Provider Addresses for CHRISTY LONG (LCSW, SUDC)
1455 S 30 E
PAYSON, UT 846513021
Phone: (208) 258-5460
Fax: (417) 794-1186
Type: Mailing
2995 N COLE RD STE 225
BOISE, ID 837045966
Phone: (208) 258-5460
Type: Location
2995 N Cole Rd Ste 225
Boise, ID 837045966
Phone: (208) 258-5460
Type: Location
151 S UNIVERSITY AVE
PROVO, UT 846014427
Phone: (801) 851-7127
Type: Mailing
750 N FREEDOM BLVD
PROVO, UT 846011677
Phone: (801) 373-4760
Fax: (801) 373-0639
Type: Mailing
3651 N 100 E STE 350
PROVO, UT 846044567
Phone: (208) 258-5460
Fax: (417) 794-1186
Type: Mailing
3651 N 100 E Ste 350
Provo, UT 846044567
Phone: (208) 258-5460
Fax: (417) 794-1186
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241003002390 | I | Clinical Social Worker | UT | TBD |
| I20250908001684 | I | Clinical Social Worker | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84651)
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