Active NPIIndividual provider

Miss Jennifer M Young, LICSW

Social Worker, Clinical in Acushnet, Massachusetts

NPI Number1184094740
Practice location
167 S Main St, Acushnet, MA 02743-2778
Fax
774-202-4733
Last updated
March 17, 2018

Jennifer Marie Young is a Social Worker, Clinical based in Acushnet, MA. Jennifer Marie Young practices in Acushnet, MA and has the professional credentials of LICSW. The NPI Number for Jennifer Marie Young is 1184094740 and holds a License No. 219514 (MA). The current practice location address for Jennifer Marie Young is 167 S Main St, Acushnet, MA 02743-2778 and can be reached out via phone at 774-634-0066 and via fax at 774-202-4733.

Provider Profile Details

NPI Number
1184094740
Provider Name
Jennifer Marie Young
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
167 S Main St, Acushnet, MA 02743-2778
Phone Number
774-634-0066
Fax Number
774-202-4733
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2015
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
167 S Main St
Acushnet, MA 02743-2778
Zip
02743-2778
Phone Number
774-634-0066
Fax Number
774-202-4733
Acushnet, MA 02743Get directions →

Provider Business Mailing Address Details

Address
25 Glennon St
New Bedford, MA 02745-5268
City
New Bedford
State
MA
Zip
02745-5268
Phone Number
781-915-4596

License Information

License Number (1)
219514
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
119885
License State (2)
MA
Taxonomy (2)
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 Miss Jennifer M Young, LICSW?

The NPI number of Miss Jennifer M Young, LICSW is 1184094740. It was assigned on September 25, 2015 and is currently active in the NPPES registry.

What is the specialty of Miss Jennifer M Young, LICSW?

Miss Jennifer M Young, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 219514.

Where does Miss Jennifer M Young, LICSW practice?

The practice location is 167 S Main St, Acushnet, MA 02743-2778. The office can be reached at 774-634-0066 (phone) or 774-202-4733 (fax).

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 1184094740 directly on the NPPES registry website.

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