Cristen Dawn Wyatt-Young, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW082015588 Issued in WV

Practice address

1109 Jefferson Rd Ste C
South Charleston, WV 25309-8815

Phone

(877) 338-2725

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Devaraj Behavioral Healthcare PLLC

  • Psychiatry Physician
  • Charleston, WV
  • NPI 1093362840
  NPD
• Devaraj Behavioral Healthcare PLLC

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1356980916
  NPD

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1174114201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 JEFFERSON RD STE C",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253098815",
            "telephone_number": "877-338-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 JEFFERSON RD STE C",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253098815",
            "telephone_number": "877-338-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT-YOUNG",
        "first_name": "CRISTEN",
        "middle_name": "DAWN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "SW082015588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwyattyoung@dbhwv.com",
            "affiliation": "N",
            "address_1": "1109 Jefferson Rd Ste C",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253098815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• WV Medical Services, Inc
• Wvdhhr/Office of Laboratory Services
• Wvupc Kanawha Valley FP (Lab)
• Wvupc Kanawha Valley FP (Paasgrp)
• Amanda J Wyant, LMT
• Shiela Wyatt
• Kelli Jo Yahr, RN
• Christie Yarbough
• Brittany Yates
• Destiny Yates

• Clinical Social Worker in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.