Individual provider Active NPI

Mary Weber-Young, PHD

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1114058864
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2005033041 Issued in MO
Practice address
141 N Meramec Ave
Suite 111
Saint Louis, MO 63105-3750
Phone
(314) 378-6410
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CS001586 MO
Clinical Social Worker 1041C0700X 2005033041 MO Primary

Addresses

Primary practice location

141 N Meramec Ave
Suite 111
Saint Louis, MO 63105-3750

Mailing address

141 N Meramec Ave
Suite 111
Saint Louis, MO 63105-3750
Phone (314) 378-6410

Other names 1

  • Mary Young Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CS001586MOMDProfessional Counselor
2005033041MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114058864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N MERAMEC AVE",
            "address_2": "SUITE 111",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053750",
            "telephone_number": "314-378-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N MERAMEC AVE",
            "address_2": "SUITE 111",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053750",
            "telephone_number": "314-378-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER-YOUNG",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "CS001586",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005033041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "YOUNG",
            "credential": "PH.D. LPC, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.