Kim E Young, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC18664 Issued in ME

Practice address

3 Laurence Way
Falmouth, ME 04105-2659

Phone

(860) 230-4090

NPI assigned

Jan 10, 2018

Last updated

Dec 9, 2020By 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 ME

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, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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

• The Family Network, LLC

  • Transportation Network Company
  • Plainfield, CT
  • NPI 1154216745
  NPD Authorized official
• Gateway Community Services Maine

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1184137473
  NPD (past)
• Gateway Community Services, LLC

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1083082630
  NPD (past)

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1285142331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAURENCE WAY",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052659",
            "telephone_number": "860-230-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LAURENCE WAY",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052659",
            "telephone_number": "860-230-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KIM",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC18664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Wyman, HIS
• Greggus Winer Yahr, PHD, NCSP
• Jennifer Germaine Yahr, APRN, CS
• Dahne L Yaitanes
• Angela York, HIS
• Zaslavsky Direct Primary Care, PLLC
• Dorothy Ann Zirkle, CPNP-PC

• Clinical Social Worker in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.