Laura Young, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013573 Issued in VA

Practice address

172 S Pantops Dr Ste C
Charlottesville, VA 22911-8672

Phone

(434) 484-0908

NPI assigned

Feb 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverbend Integrative Trauma TreatmentGroup PAC ID 8628489044, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Riverbend Integrative Trauma Treatment

  • Mental Health Counselor
  • Charlottesville, VA
  • NPI 1952944522
  Medicare reassignment Care Compare group NPD
• Kris Santamaria, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
  • NPI 1477831204
  NPD (past)

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1114671716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 S PANTOPS DR STE C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118672",
            "telephone_number": "434-484-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 S PANTOPS DR STE C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118672",
            "telephone_number": "434-484-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Squires Young, PA-C
• Eva K Young, PA
• Gregory D Young, M.D.
• Jacob N Young, MD
• Kathryn G Young, MD
• Mark C Young, DDS
• Meaghan Renee Young, AG-ACNP
• Nathan Mark Young, M.A., L.P.C.
• Robert Young, PSY.D.
• Sara Young, MD

• Clinical Social Worker in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.

Verify at the official NPI Registry.