Individual provider Active NPI

Barbara Adler Young, LCSW,ACSW

  • Clinical Social Worker
  • Lawton, OK
National Provider Identifier
1215039417
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1466 Issued in OK
Practice address
3811 W Gore Blvd Ste 6
Lawton, OK 73505-6328
Phone
(580) 250-2565
NPI assigned
Sep 1, 2006
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 1466 OK Primary

Addresses

Primary practice location

3811 W Gore Blvd Ste 6
Lawton, OK 73505-6328

Mailing address

3811 W Gore Blvd Ste 6
Lawton, OK 73505-6328
Phone (580) 355-0016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20221027001051 OK Practitioner - Clinical Social Worker 5294909289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3401 W Gore Blvd
Lawton, OK 73505-6332

5404 SW Lee Blvd
Lawton, OK 73505-9521
Phone (580) 355-5242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1466OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Hospital Authority CurrentSince Aug 2, 2022 Accepting new patients
Comanche County Hospital Authority CurrentSince Aug 2, 2022 Accepting new patients

Locations

1202 NW Arlington Ave
Lawton, OK 73507
Phone (580) 248-2288

3811 W Gore Blvd
Lawton, OK 73505
Phone (580) 581-1500

3811 W Gore Blvd
Ste 6
Lawton, OK 73505
Phone (580) 250-6525

5404 SW Lee Blvd
Lawton, OK 73505
Phone (580) 355-5242

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1215039417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 W GORE BLVD STE 6",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056328",
            "telephone_number": "580-355-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 W GORE BLVD STE 6",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056328",
            "telephone_number": "580-250-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BARBARA",
        "middle_name": "ADLER",
        "name_prefix": "Ms.",
        "credential": "LCSW,ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.