MEDICARE: IVY LONG LMSW

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	104100000X	Social Worker	130035	NY
2	172V00000X	Community Health Worker	130035	NY

General Provider Information

NPI Number	:	1942164926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVY LONG LMSW

Provider Business Mailing Address
First Line	:	122 BAY 29TH ST APT 4
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-5078
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	184 ELDRIDGE ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-2992
Country	:	US
Telephone Number	:	212-674-9120
Fax Number	:

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

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1336572783 — BING JI
Practice Location Address:

184 ELDRIDGE ST
NEW YORK, NY
10002-2992

Practice Phone: 212-453-4542
Practice Fax:

1215361175 — MS. MARILUS CASTELLANOS LCSW
Practice Location Address:

184 ELDRIDGE ST RM 408
NEW YORK, NY
10002-2992

Practice Phone: 212-453-4540
Practice Fax:

1053869883 — JOSEPHINE TONG
Practice Location Address:

184 ELDRIDGE ST
NEW YORK, NY
10002-2992

Practice Phone: 917-775-3629
Practice Fax:

1417442708 — XIAONAN LIAO
Practice Location Address:

184 ELDRIDGE ST
NEW YORK, NY
10002-2992

Practice Phone: 212-562-4522
Practice Fax:

1659848091 — JOYCE HUANG
Practice Location Address:

184 ELDRIDGE ST
NEW YORK, NY
10002-2992

Practice Phone: 917-921-2476
Practice Fax:

Directions to “ IVY LONG LMSW” 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 © 2007-2025 (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.