Youth Empowerment Siskiyou

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

YOUTH EMPOWERMENT SISKIYOU

Practice address

907 4TH St
Yreka, CA 96097-3313

Phone

(530) 841-0844

NPI assigned

Nov 30, 2021

Organization subpart

No

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

Authorized official

Name

Sarah Springfield

Title

Executive Director

Phone

(530) 841-0844

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Charles Cowan, ACSW

  • Clinical Social Worker
  • Yreka, CA
  • NPI 1740581271
  NPD

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1225796956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1337",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960971337",
            "telephone_number": "530-841-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 4TH ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973313",
            "telephone_number": "530-841-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH EMPOWERMENT SISKIYOU",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "SPRINGFIELD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-841-0844"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Elaine Yawman-Adams, LMFT
• Kirsten M Yergensen, PPS
• Frances Carol Young, CRNA
• Todd Alvin Young, D.D.S.
• Moudy Samir Youssef, M.D.
• Yreka Chiropractic Dr J C Morris D C Inc
• Yreka Chiropractic Dr J C Morris Inc
• Yreka Pharmacy Inc
• Yreka Pharmacy, Inc.
• Yreka Union Elementary School District

• Clinical Social Worker in Yreka, CA
• Providers in Yreka, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.