Susan L. Young, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003335 Issued in NC

Legal business name

SUSAN L. YOUNG, INC.

Practice address

3111 Springbank LN
Suite I
Charlotte, NC 28226-3372

Phone

(704) 540-3055

Fax

(704) 540-2762

NPI assigned

Jul 12, 2007

Reactivated

Nov 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Susan Luke Young, MSW, LCSW, LCAS

Title

President / Sole Proprietor

Phone

(704) 540-3055

Specialties & licenses 2

Addresses

Other names 1

• Americas Center for Change, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1225237183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SPRINGBANK LN",
            "address_2": "SUITE I",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263372",
            "telephone_number": "704-540-3055",
            "fax_number": "704-540-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SPRINGBANK LN",
            "address_2": "SUITE I",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263372",
            "telephone_number": "704-540-3055",
            "fax_number": "704-540-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L. YOUNG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-12-01",
        "deactivation_date": "2007-08-09",
        "reactivation_date": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "PRESIDENT / SOLE PROPRIETOR",
        "authorized_official_telephone_number": "704-540-3055",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1106",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Americas Center for Change, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cory Surridge, AU.D
• Surviving the Battle, PLLC
• Sadhana Suryadevara
• Uma Suryadevara, MD
• Susan a Hockaday DDS PA
• Beth E. Susi, MD
• Nirja Sutaria, DO
• Katharyn Suther, OTR/L
• Carisa Marice Sutherland, MD
• Frederick Scott Sutherland, MD

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.