Calandra Burke Young, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW008824 Issued in GA

Practice address

274 Cedar St
Social Circle, GA 30025-3074

Phone

(478) 251-3409

NPI assigned

Oct 2, 2020

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• B-Car3 Corporation

  • Social Worker
  • Social Circle, GA
  • NPI 1619576600
  NPD

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1083211015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 CEDAR ST",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300253074",
            "telephone_number": "478-251-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 CEDAR ST",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300253074",
            "telephone_number": "478-251-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CALANDRA",
        "middle_name": "BURKE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW008824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS, AND MARRIAGE &FAMILY",
            "identifier": "MSW008824",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14975808",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BCAR3Corp@gmx.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "274 Cedar St",
            "city": "Social Circle",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300253074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas Ryan Tedrow, MD
• Tri-County Clinic, Inc.
• Triple a Non Emergency Transportation LLC
• Laura Lee Wahl, OTR
• Marilyn Elaine Sims Whitening, APRN-C
• Esther K Zwemer, PHYSICAL THERAPIST

• Social Worker in Social Circle, GA
• Providers in Social Circle, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.