Individual provider Active NPI

Ronald Allen Young II, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
National Provider Identifier
1053557140
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6315-C Issued in AR
Practice address
1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870
Phone
(870) 933-6886
Fax
(870) 933-9395
NPI assigned
Dec 19, 2008
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 6315-C AR Primary

Addresses

Primary practice location

1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870

Mailing address

1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone (870) 933-6886

Other practice location 1

501 Southwest Dr # A1
Jonesboro, AR 72401-5858
Phone (870) 790-1707

Other practice location 2

319 S Church St
Jonesboro, AR 72401-2913
Phone (870) 790-1707

Other identifiers 2

IdentifierTypeStateIssuer
192500795MedicaidAR
5MM49OtherARBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150123001657 AR Practitioner - Clinical Social Worker 3072837939 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6315-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Dec 2, 2014 Accepting new patients
Silver Lining Counseling LLC CurrentSince Jan 1, 2025 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc Current Accepting new patients
St Bernards Hospital Inc. CurrentSince Oct 1, 2022 Accepting new patients
Northeast Arkansas Community Mental Health Center CurrentSince Dec 2, 2014 Accepting new patients
Families, Inc of Arkansas Clinical CurrentSince Feb 16, 2015 Accepting new patients
Families, Inc of Arkansas Mental Health CurrentSince Feb 16, 2015 Accepting new patients

Locations

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

319 S Church St
Jonesboro, AR 72401
Phone (870) 790-1707

501 Southwest Dr
Ste A1
Jonesboro, AR 72401
Phone (870) 790-1707

1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1053557140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724057870",
            "telephone_number": "870-933-6886",
            "fax_number": "870-933-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017870",
            "telephone_number": "870-933-6886",
            "fax_number": "870-933-9395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Southwest Dr # A1",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724015858",
            "country_code": "US",
            "telephone_number": "870-790-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 S Church St",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724012913",
            "country_code": "US",
            "telephone_number": "870-790-1707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "RONALD",
        "middle_name": "ALLEN",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-19",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6315-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192500795",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5MM49",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.