Jennifer Marie Young, LICSW
Individual provider Active NPI Clinical Social Worker · Acushnet, MA
NPI 1184094740 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1184094740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 119885 (MA)
- Practice address
- 167 S Main St
Acushnet, MA 02743-2778 - Phone
- (774) 634-0066
- Fax
- (774) 202-4733
- NPI assigned
- Sep 25, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119885 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 219514 | MA | |
| Clinical Social Worker | 1041C0700X | 119885 | MA | Yes |
Addresses
Primary practice location
167 S Main St
Acushnet, MA 02743-2778
Mailing address
25 Glennon St
New Bedford, MA 02745-5268
Phone (781) 915-4596
Other practice location 1
42 Hiller Rd
Rochester, MA 02770-4023
Phone (781) 915-4596
Other providers in Acushnet, MA
All providers in Acushnet, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.