Jeanice Young

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016020 Issued in NC

Practice address

4804 Page Creek LN Ste 210
Durham, NC 27703-8582

Phone

(919) 619-6509

NPI assigned

May 6, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1013591106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 POPLAR CREST DR APT 8",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275455927",
            "telephone_number": "919-395-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 PAGE CREEK LN STE 210",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038582",
            "telephone_number": "919-619-6509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 US HIGHWAY 70 W",
            "address_2": "201",
            "address_purpose": "LOCATION",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "country_code": "US",
            "telephone_number": "919-773-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEANICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Eileen Young, AGPCNP-C, RN
• Darmarius Levell Young
• Deborah H Young, MS, LPC, LCAS, CSI,
• Derek Scott Young Jr., MD
• Erin Young
• Jeffrey Bennett Young, DPT
• Jonathan Robert Young, M.D.
• Katelyn Alyssa Young, MD
• Katherine Ann Young, M.D.
• Kathleen Anneliese Young, MD

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.