Individual provider Active NPI

Lisa C Young

  • Clinical Social Worker
  • Greenville, PA
National Provider Identifier
1083050306
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018637 Issued in PA
Practice address
348 Main St
Greenville, PA 16125-2608
Phone
(724) 588-5250
Fax
(724) 588-5253
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW130167 PA
Clinical Social Worker 1041C0700X CW018637 PA Primary

Addresses

Primary practice location

348 Main St
Greenville, PA 16125-2608

Mailing address

63 Pitt St
Sharon, PA 16146-2102
Phone (724) 588-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140605000404 PA Practitioner - Clinical Social Worker 6608090048 Reassigns benefits to 1 organization
I20260109002872 OH Practitioner - Clinical Social Worker 6608090048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, 64 clinicians

Practice addresses (Care Compare)

5594 State Route 7
Andover, OH 44003-9490
Phone (440) 293-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW130167PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince May 19, 2025 Accepting new patients
Primary Health Network CurrentSince May 19, 2025 Accepting new patients

Locations

5594 State Route 7
Andover, OH 44003
Phone (440) 293-2444

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

348 Main St
Greenville, PA 16125
Phone (724) 588-5250

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1083050306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PITT ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462102",
            "telephone_number": "724-588-5250",
            "fax_number": "724-588-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161252608",
            "telephone_number": "724-588-5250",
            "fax_number": "724-588-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LISA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130167",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, PA

Sources for this page

Verify at the official NPI Registry.