Organization Active NPI

Young Healing Therapy Licensed Clinical Social Worker Inc

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1285168138
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26970 Issued in CA
Legal business name
YOUNG HEALING THERAPY LICENSED CLINICAL SOCIAL WORKER INC
Practice address
5028 Geary Blvd
San Francisco, CA 94118-2814
Phone
(877) 905-5700
Fax
(844) 334-9735
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Samatra Monique Downing, LCSW, PPSCNPI 1245535517
Title
Therapist/Owner
Phone
(877) 905-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 26970 CA Primary

Addresses

Primary practice location

5028 Geary Blvd
San Francisco, CA 94118-2814

Mailing address

5028 Geary Blvd
San Francisco, CA 94118-2814
Phone (877) 905-5700

National Provider Directory

National Provider Directory

Locations

5028 Geary Blvd
San Francisco, CA 94118
Phone (415) 289-2241

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1285168138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182814",
            "telephone_number": "877-905-5700",
            "fax_number": "844-334-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182814",
            "telephone_number": "877-905-5700",
            "fax_number": "844-334-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG HEALING THERAPY LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "DOWNING",
        "authorized_official_first_name": "SAMATRA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "877-905-5700",
        "authorized_official_credential": "LCSW, PPSC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.