Active NPIIndividual providerSole proprietor

Mr. Courtland J Young III, LCSW

Social Worker, Clinical in Prospect, Connecticut

NPI Number1609165729
Practice location
3 Skyline Dr, Prospect, CT 06712-1735
Fax
—
Last updated
March 29, 2011

Courtland James Young is a Social Worker, Clinical based in Prospect, CT. Courtland James Young practices in Prospect, CT and has the professional credentials of LCSW. The NPI Number for Courtland James Young is 1609165729. The current practice location address for Courtland James Young is 3 Skyline Dr, Prospect, CT 06712-1735 and can be reached out via phone at 203-758-3216.

Provider Profile Details

NPI Number
1609165729
Provider Name
Courtland James Young
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
3 Skyline Dr, Prospect, CT 06712-1735
Phone Number
203-758-3216
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2011
Last Update Date
March 29, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Skyline Dr
Prospect, CT 06712-1735
Zip
06712-1735
Phone Number
203-758-3216
Prospect, CT 06712Get directions →

Provider Business Mailing Address Details

Address
6 Greenridge Ter
Wolcott, CT 06716-2653
City
Wolcott
State
CT
Zip
06716-2653
Phone Number
203-879-7035

License Information

License State
CT
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 Mr. Courtland J Young III, LCSW?

The NPI number of Mr. Courtland J Young III, LCSW is 1609165729. It was assigned on March 29, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Courtland J Young III, LCSW?

Mr. Courtland J Young III, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Mr. Courtland J Young III, LCSW practice?

The practice location is 3 Skyline Dr, Prospect, CT 06712-1735. The office can be reached at 203-758-3216 (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 1609165729 directly on the NPPES registry website.

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