Individual
SARAH J LONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8240 LAKESHORE CIR, APT 4214, INDIANAPOLIS, IN 46250-4852
(317) 902-0331
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34006774A
IN
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430773
MEDICARE
IN
05
—
300043907
—
IN
Enumeration date
08/20/2010
Last updated
12/01/2022
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