Individual provider Active NPI

Makayla R De Young, APSW

  • Social Worker
  • Madison, WI
National Provider Identifier
1104664085
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
134937-121 Issued in WI
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

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
134937-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Orion Family Services, Inc. CurrentSince Jul 21, 2024 Accepting new patients
Orion Family Services, Inc. CurrentSince Jul 21, 2024 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.

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

Verify at the official NPI Registry.