Individual provider Active NPI

Laurie Young, LCSW

  • Clinical Social Worker
  • Deer Lodge, MT
National Provider Identifier
1164819249
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWP-LCSW-LIC-2328 Issued in MT
Practice address
709 Idaho St
Deer Lodge, MT 59722-1339
Phone
(406) 241-2520
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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 SWP-LCSW-LIC-2328 MT Primary

Addresses

Primary practice location

709 Idaho St
Deer Lodge, MT 59722-1339

Mailing address

709 Idaho St
Deer Lodge, MT 59722-1339
Phone (406) 241-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20200721000431 MT Practitioner - Clinical Social Worker 4082038310 Reassigns benefits to 1 organization
Practice locations: Butte, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1240 Dewey Blvd
Suite a
Butte, MT 59701-3411
Phone (406) 299-2812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWP-LCSW-LIC-2328MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Mountains Counseling PLLC Clinical CurrentSince Mar 31, 2023 Accepting new patients
Mahoosuc Mountains Counseling, LLC Clinical Current Accepting new patients

Locations

1240 Dewey Blvd
Ste A
Butte, MT 59701
Phone (406) 241-2520

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1164819249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 IDAHO ST",
            "city": "DEER LODGE",
            "state": "MT",
            "postal_code": "597221339",
            "telephone_number": "406-241-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 IDAHO ST",
            "city": "DEER LODGE",
            "state": "MT",
            "postal_code": "597221339",
            "telephone_number": "406-241-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LAURIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "SWP-LCSW-LIC-2328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Lodge, MT

Sources for this page

Verify at the official NPI Registry.