Active NPI
Angela Kennedy Young, MSW, LSW
- Social Worker
- College Station, TX
National Provider Identifier
1144717596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- W5834
- Practice address
- St. Joseph Health
1604 Rock Prairie Rd
College Station, TX 77845 - Phone
- (979) 764-5100
- NPI assigned
- Apr 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | W5834 | MS | Primary |
Addresses
Primary practice location
St. Joseph Health
1604 Rock Prairie Rd
College Station, TX 77845
Mailing address
8505 Callahan Dr
Killeen, TX 76542-6894
Phone (832) 435-5645
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W5834 | MS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1144717596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8505 CALLAHAN DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765426894",
"telephone_number": "832-435-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. JOSEPH HEALTH",
"address_2": "1604 ROCK PRAIRIE RD",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "77845",
"telephone_number": "979-764-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ANGELA",
"middle_name": "KENNEDY",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-20",
"last_updated": "2023-02-14",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "W5834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.