Individual provider Active NPI

Courtney Young, LCSW

  • Clinical Social Worker
  • Woodbury, CT
National Provider Identifier
1265979926
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8901 Issued in CT
Practice address
43 Sherman Hill Rd
Building D, Suite 202a
Woodbury, CT 06798-3651
Phone
(203) 681-1212
Fax
(203) 519-7979
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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 8901 CT Primary

Addresses

Primary practice location

43 Sherman Hill Rd
Building D, Suite 202a
Woodbury, CT 06798-3651

Mailing address

100 Main St N
Suite 125
Southbury, CT 06488-3840
Phone (203) 681-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20181212002781 CT Practitioner - Clinical Social Worker 3375693690 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8901CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Perspectives Treatment Center, Inc. Clinical CurrentSince May 1, 2021 Accepting new patients

Locations

100 Main St N
Ste 125
Southbury, CT 06488

800 Main St S
Ste 210
Southbury, CT 06488
Phone 2032709888103

43 Sherman Hill Rd
Ste D202A
Woodbury, CT 06798
Phone (203) 543-7575

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1265979926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN ST N",
            "address_2": "SUITE 125",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883840",
            "telephone_number": "203-681-1212",
            "fax_number": "203-519-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SHERMAN HILL RD",
            "address_2": "BUILDING D, SUITE 202A",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983651",
            "telephone_number": "203-681-1212",
            "fax_number": "203-519-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "COURTNEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, CT

Sources for this page

Verify at the official NPI Registry.