Active NPI
Michelle Renee Youtsey, MSW, LCSW
- Clinical Social Worker
- Prosper, TX
National Provider Identifier
1073848735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23809
- Practice address
- 805 E 1St St
Prosper, TX 75078-2919 - Phone
- (468) 481-6965
- NPI assigned
- Oct 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 23809 | CA | |
| Clinical Social Worker | 1041C0700X | 68899 | TX | |
| School Social Worker | 1041S0200X | 23809 | CA | |
| Clinical Social Worker | 1041C0700X | 23809 | CA | Primary |
Addresses
Primary practice location
805 E 1St St
Prosper, TX 75078-2919
Mailing address
3911 Glacier Point CT
Prosper, TX 75078-9033
Phone (310) 897-5608
Other practice location 1
9741 Preston Rd Ste 200
Frisco, TX 75033-2554
Phone (972) 943-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68899 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1073848735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 GLACIER POINT CT",
"city": "PROSPER",
"state": "TX",
"postal_code": "750789033",
"telephone_number": "310-897-5608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 E 1ST ST",
"city": "PROSPER",
"state": "TX",
"postal_code": "750782919",
"telephone_number": "468-481-6965"
}
],
"practiceLocations": [
{
"address_1": "9741 Preston Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750332554",
"country_code": "US",
"telephone_number": "972-943-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUTSEY",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-13",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "23809",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "68899",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": "23809",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "23809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.