Individual provider Active NPI

Jasmine Lachelle Cohen-Young, LSCSW

  • Social Worker
  • Fort Riley, KS
National Provider Identifier
1114493210
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
05347 Issued in KS
Practice address
650 Huebner Rd
Fort Riley, KS 66442-4030
Phone
(785) 239-7000
Fax
(630) 570-5779
NPI assigned
Oct 17, 2018
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 05347 KS Primary
Clinical Social Worker 1041C0700X 05347 KS
Clinical Social Worker 1041C0700X CSW007279 GA

Addresses

Primary practice location

650 Huebner Rd
Fort Riley, KS 66442-4030

Mailing address

5501 Abercorn Street
Unit 5 - #102
Savannah, GA 31405
Phone (762) 901-2297

Other practice location 1

5501 Abercorn Street
Unit 5 - #102
Savannah, GA 31405
Phone (762) 901-2297

Other practice location 2

5 Mall Anx
Savannah, GA 31406-4738
Phone (912) 721-6704

Other practice location 3

1558 Hayes Drive
Mailing Address 2
Manhattan, KS 66502-6650
Phone (785) 587-4300

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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05347KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1114493210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 ABERCORN STREET",
            "address_2": "UNIT 5 - #102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "762-901-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HUEBNER RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664424030",
            "telephone_number": "785-239-7000",
            "fax_number": "630-570-5779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 ABERCORN STREET",
            "address_2": "UNIT 5 - #102",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31405",
            "country_code": "US",
            "telephone_number": "762-901-2297",
            "fax_number": "762-901-2297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Mall Anx",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314064738",
            "country_code": "US",
            "telephone_number": "912-721-6704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1558 Hayes Drive",
            "address_2": "Mailing Address 2",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665026650",
            "country_code": "US",
            "telephone_number": "785-587-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN-YOUNG",
        "first_name": "JASMINE",
        "middle_name": "LACHELLE",
        "name_prefix": "Dr.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "05347",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05347",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Riley, KS

Sources for this page

Verify at the official NPI Registry.