Individual provider Active NPI

Jessica Patricia Young, LICSW

  • Clinical Social Worker
  • Maxwell AFB, AL
National Provider Identifier
1154744365
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4743C Issued in AL
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

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250217002909 AL Practitioner - Clinical Social Worker 2567982887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Alabama AIDS Outreach Inc Current Accepting new patients
West Alabama AIDS Outreach Inc CurrentSince Jan 1, 2025 Accepting new patients
Mental Health Center of North Central Alabama Inc. PastSince Jul 6, 2019 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.

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

Verify at the official NPI Registry.