Active NPI
Jessica Patricia Young, LICSW
- Clinical Social Worker
- Maxwell AFB, AL
National Provider Identifier
1154744365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4743C
- Practice address
- 300 Twining St BLDG 760
Maxwell AFB, AL 36112-6027 - Phone
- (334) 953-5200
- Fax
- (334) 953-8607
- NPI assigned
- Jan 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4743C | AL | Primary |
Addresses
Primary practice location
300 Twining St BLDG 760
Maxwell AFB, AL 36112-6027
Mailing address
300 Twining St BLDG 760
Maxwell AFB, AL 36112-6027
Phone (334) 953-5200
Other names 1
- Jessica Patricia Walker
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | - |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Alabama AIDS Outreach Inc | Current | Accepting new patients | |
| West Alabama AIDS Outreach Inc | Current | Accepting new patients | |
| Mental Health Center of North Central Alabama Inc. | Past | Accepting new patients |
Locations
2900 McGehee Rd
Montgomery, AL 36111
Phone (334) 280-3349
2703 7th St
Tuscaloosa, AL 35401
Phone (205) 723-2389
2715 7th St
Tuscaloosa, AL 35401
Organizations & group practices 3
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.
-
dba Five Horizons Health Services
- General Practice Physician
- Tuscaloosa, AL
- NPI 1619731361
-
dba Five Horizons Health Services
- Infectious Disease Physician
- Tuscaloosa, AL
- NPI 1942043070
-
- Community/Behavioral Health Agency
- Decatur, AL
- NPI 1124193636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1154744365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TWINING ST BLDG 760",
"city": "MAXWELL AFB",
"state": "AL",
"postal_code": "361126027",
"telephone_number": "334-953-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TWINING ST BLDG 760",
"city": "MAXWELL AFB",
"state": "AL",
"postal_code": "361126027",
"telephone_number": "334-953-5200",
"fax_number": "334-953-8607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JESSICA",
"middle_name": "PATRICIA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-23",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4743C",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "-",
"affiliation": "N",
"address_1": "300 Twining St Bldg 760",
"city": "Maxwell AFB",
"state": "AL",
"country_code": "US",
"postal_code": "361126027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "WALKER",
"middle_name": "PATRICIA",
"credential": "BSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maxwell AFB, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.