Individual provider Active NPI

Jami Heather Young, LCSW

  • Clinical Social Worker
  • South Miami, FL
National Provider Identifier
1104033216
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8867 Issued in FL
Practice address
6705 SW 57TH Ave Ste 302
South Miami, FL 33143-3638
Phone
(786) 456-9990
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075497 NY
Clinical Social Worker 1041C0700X 8867 FL Primary

Addresses

Primary practice location

6705 SW 57TH Ave Ste 302
South Miami, FL 33143-3638

Mailing address

7261 SW 133Rd Ter
Pinecrest, FL 33156-6831
Phone (305) 926-7868

Other practice location 1

3081 Salzedo St
Suite 202
Coral Gables, FL 33134-6711
Phone (305) 926-7868

Other identifiers 1

IdentifierTypeStateIssuer
Z169QOtherFLBCBSFL

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

LicenseStateTypeSpecialty
8867FLMDBehavioral Analyst
075497NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
East Side Psychiatric Services, PC Past Accepting new patients
Jami Young, LCSW LLC Clinical Past Accepting new patients

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1104033216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 SW 133RD TER",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331566831",
            "telephone_number": "305-926-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE STE 302",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433638",
            "telephone_number": "786-456-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3081 Salzedo St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331346711",
            "country_code": "US",
            "telephone_number": "305-926-7868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JAMI",
        "middle_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075497",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "8867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "Z169Q",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.