Sandee K Young, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-26332 Issued in ID

Practice address

34 Louella St
Blackfoot, ID 83221-1609

Phone

(208) 782-1322

Fax

(208) 782-1322

NPI assigned

Feb 24, 2009

Last updated

Oct 23, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Pathways Cooperative, Inc

  • Developmentally Disabled Services Day Training Agency
  • Blackfoot, ID
  • NPI 1619988979
  Medicare reassignment NPD Authorized official
• Blackfoot Behavioral Health, LLC

  • Psychiatric Residential Treatment Facility
  • Blackfoot, ID
  • NPI 1003113465
  Authorized official Same address or phone
• Family Pathways

  • Developmentally Disabled Services Day Training Agency
  • Blackfoot, ID
  • NPI 1124243175
  NPD (past) Authorized official
• Family Pathways Cooperative

  • Case Management Agency
  • Blackfoot, ID
  • NPI 1629107867
  NPD (past) Authorized official
• Family Pathways Cooperative, Inc

  • Mental Health Counselor
  • Blackfoot, ID
  • NPI 1336365097
  Authorized official Same address or phone
• Family Pathways Cooperative, Inc.

  • Community/Behavioral Health Agency
  • Pocatello, ID
  • NPI 1427274182
  Authorized official Same address or phone

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1215177704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LOUELLA ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211609",
            "telephone_number": "208-782-1322",
            "fax_number": "208-782-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LOUELLA ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211609",
            "telephone_number": "208-782-1322",
            "fax_number": "208-782-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SANDEE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-26332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Wray, DO
• Amanda Wray, RPH
• Lee Brock Wren, OD
• Shawn A Wren, CRNA
• Barbara Pancoast Young, LCSW
• Aimee Y Zhang, MD

• Clinical Social Worker in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.