Active NPI
Shannon D Young, MSWI
- School Social Worker
- Pleasant Grove, UT
National Provider Identifier
1184944316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 194 S Main St
Pleasant Grove, UT 84062-2631 - Phone
- (801) 785-1169
- Fax
- (801) 785-1154
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
194 S Main St
Pleasant Grove, UT 84062-2631
Mailing address
194 S Main St
Pleasant Grove, UT 84062-2631
Phone (801) 785-1169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1184944316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 S MAIN ST",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840622631",
"telephone_number": "801-785-1169",
"fax_number": "801-785-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 S MAIN ST",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840622631",
"telephone_number": "801-785-1169",
"fax_number": "801-785-1154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SHANNON",
"middle_name": "D",
"credential": "MSWI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Grove, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.