Active NPI
Brendan James Young, LCSW
- Clinical Social Worker
- Montgomeryville, PA
National Provider Identifier
1164555322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015743
- Practice address
- 595 Bethlehem Pike
Suite 101
Montgomeryville, PA 18936-9710 - Phone
- (267) 209-0192
- Fax
- (267) 937-2006
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW015743 | PA | Primary |
Addresses
Primary practice location
595 Bethlehem Pike
Suite 101
Montgomeryville, PA 18936-9710
Mailing address
595 Bethlehem Pike
Suite 101
Montgomeryville, PA 18936-9710
Phone (267) 209-0192
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 |
|---|---|---|---|
| CW015743 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1164555322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 BETHLEHEM PIKE",
"address_2": "SUITE 101",
"city": "MONTGOMERYVILLE",
"state": "PA",
"postal_code": "189369710",
"telephone_number": "267-209-0192",
"fax_number": "267-937-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 BETHLEHEM PIKE",
"address_2": "SUITE 101",
"city": "MONTGOMERYVILLE",
"state": "PA",
"postal_code": "189369710",
"telephone_number": "267-209-0192",
"fax_number": "267-937-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "BRENDAN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW015743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomeryville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.