MEDICARE: MRS. SONDRA ADELE LONG LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW 4492	FL

General Provider Information

NPI Number	:	1871588178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SONDRA ADELE LONG LCSW

Provider Business Mailing Address
First Line	:	730 FAIRWAY DR
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32940-7020
Country	:	US
Telephone Number	:	321-242-0525
Fax Number	:

Provider Business Practice Location Address
First Line	:	1381 S PATRICK DR
Second Line	:	BLDG 1370 LIFE SKILLS SUPPORT CENTER 45 MDOS SGOH
City	:	PATRICK AFB
State	:	FL
Zip	:	32925-3606
Country	:	US
Telephone Number	:	321-494-8234
Fax Number	:	321-494-8074

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1144222118 — DR. GILBERT RAY HANSEN M.D.
Practice Location Address:

1381 S PATRICK DR
PATRICK AFB, FL
32925-3606

Practice Phone: 321-494-8100
Practice Fax:

1942202817 — ARCHIE BOCKHORST O.D
Practice Location Address:

1381 S PATRICK DR
PATRICK AFB, FL
32925-3606

Practice Phone: 321-494-8164
Practice Fax:

1902891468 — RANDY W DUTTON OPTOMETRIST
Practice Location Address:

1381 S PATRICK DR
PATRICK AFB, FL
32925-3606

Practice Phone: 321-494-8164
Practice Fax: 321-494-1378

1134114606 — LEONARD WESLEY SCHUBRING PA C
Practice Location Address:

1381 S PATRICK DR , FAMILY PRACTICE
PATRICK AFB, FL
32925-3606

Practice Phone: 321-794-0309
Practice Fax: 321-494-8980

1912992231 — SUSAN T THOMPSON LSW
Practice Location Address:

1381 S PATRICK DR , 45TH MEDICAL GROUP
PATRICK AFB, FL
32925-3606

Practice Phone: 321-494-8234
Practice Fax: 321-494-1378

1033104096 — DAVID M FARRELL PT
Practice Location Address:

1381 S PATRICK DR
PATRICK AFB, FL
32925-3606

Practice Phone: 321-494-8129
Practice Fax: 321-494-1378

Directions to “ MRS. SONDRA ADELE LONG LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.