Tracie Young, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16770 Issued in MD

Practice address

1212 E Churchville Rd
Suite 301
Bel Air, MD 21014-3416

Phone

(443) 640-4913

Fax

(443) 640-4913

NPI assigned

Mar 22, 2017

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Drumgoole Counseling Services Inc

  • Professional Counselor
  • Bel Air, MD
  • NPI 1053706218
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1215468145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 E CHURCHVILLE RD",
            "address_2": "SUITE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143416",
            "telephone_number": "443-640-4913",
            "fax_number": "443-640-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E CHURCHVILLE RD",
            "address_2": "SUITE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143416",
            "telephone_number": "443-640-4913",
            "fax_number": "443-640-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TRACIE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Yarnold, CRNP
• Jack Leonard Yeager, MASTERS OF SCIENCE
• Phillip Yim, M.D.
• Robert Phillip Yim, MD
• Ayona Young, LMSW
• William C Young, PT
• Faheem Younus, M.D.
• Your Best Life Counseling LLC
• Angelita Maria Yu-Crowley, PH.D.
• Alicia Katherine Zagwoski, SLP

• Clinical Social Worker in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.