Active NPI
Makayla R De Young, APSW
- Social Worker
- Madison, WI
National Provider Identifier
1104664085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 134937-121
- Practice address
- 26 Schroeder CT Ste 210
Madison, WI 53711-2503 - Phone
- (920) 296-7842
- NPI assigned
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 134937-121 | WI | Primary |
Addresses
Primary practice location
26 Schroeder CT Ste 210
Madison, WI 53711-2503
Mailing address
26 Schroeder CT Ste 210
Madison, WI 53711-2503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
26 Schroeder CT
Suite 210
Madison, WI 53711-2503
26 Schroeder CT St
Suite 210
Madison, WI 53718-6989
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134937-121 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orion Family Services, Inc. | Current | Accepting new patients | |
| Orion Family Services, Inc. | Current | Accepting new patients |
Locations
4726 E Towne Blvd
Ste 215
Madison, WI 53704
Phone (608) 219-5065
26 Schroeder Ct
Ste 210
Madison, WI 53711
Phone (608) 219-5065
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1154529972
-
- Community/Behavioral Health Agency
- Madison, WI
- NPI 1215122668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1104664085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 SCHROEDER CT STE 210",
"city": "MADISON",
"state": "WI",
"postal_code": "537112503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 SCHROEDER CT STE 210",
"city": "MADISON",
"state": "WI",
"postal_code": "537112503",
"telephone_number": "920-296-7842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE YOUNG",
"first_name": "MAKAYLA",
"middle_name": "R",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "134937-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.