Tracy Ann Young, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087836 Issued in MI

Practice address

46360 Gratiot Ave
Chesterfield, MI 48051-2800

Phone

(586) 948-0228

Fax

(586) 948-0213

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

Yes

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053453712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26159 BURG RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891092",
            "telephone_number": "586-755-4191",
            "fax_number": "586-948-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46360 GRATIOT AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512800",
            "telephone_number": "586-948-0228",
            "fax_number": "586-948-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Yancey
• Jessica Ann Yank, RDH
• John Yarber
• Cortnii Renee Yenson
• Shanay Young
• Jasmin Zaal
• Ericka Leanne Zabicki, MPT
• Anxhela Zaclli
• Miranda Zagacki
• Tiffany Zarb

• Clinical Social Worker in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.