Active NPIIndividual providerSole proprietor

Ms. Kristin A Young, LICSW

Social Worker, Clinical in Sandwich, Massachusetts

NPI Number1083983993
Practice location
55 Tupper Road, Sandwich, MA 02563-0233
Fax
—
Last updated
August 24, 2016

Kristin Amy Young is a Social Worker, Clinical based in Sandwich, MA. Kristin Amy Young practices in Sandwich, MA and has the professional credentials of LICSW. The NPI Number for Kristin Amy Young is 1083983993 and holds a License No. 117611 (MA). The current practice location address for Kristin Amy Young is 55 Tupper Road, Sandwich, MA 02563-0233 and can be reached out via phone at 508-997-6300.

Provider Profile Details

NPI Number
1083983993
Provider Name
Kristin Amy Young
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
55 Tupper Road, Sandwich, MA 02563-0233
Phone Number
508-997-6300
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 21, 2011
Last Update Date
August 24, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Tupper Road
Sandwich, MA 02563-0233
Zip
02563-0233
Phone Number
508-997-6300
Sandwich, MA 02563Get directions →

Provider Business Mailing Address Details

Address
Po Box 233
Sandwich, MA 02563-0233
City
Sandwich
State
MA
Zip
02563-0233
Phone Number
508-997-6300

License Information

License Number
117611
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Kristin A Young, LICSW?

The NPI number of Ms. Kristin A Young, LICSW is 1083983993. It was assigned on December 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Kristin A Young, LICSW?

Ms. Kristin A Young, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 117611.

Where does Ms. Kristin A Young, LICSW practice?

The practice location is 55 Tupper Road, Sandwich, MA 02563-0233. The office can be reached at 508-997-6300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083983993 directly on the NPPES registry website.

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