Heather Jean Youngs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077695 Issued in NY

Practice address

25440 Indian River Dr
Calcium, NY 13616-2213

Phone

(315) 629-4234

Fax

(315) 629-4571

NPI assigned

Nov 18, 2010

Last updated

Nov 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1346542750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25440 INDIAN RIVER DR",
            "city": "CALCIUM",
            "state": "NY",
            "postal_code": "136162213",
            "telephone_number": "315-629-4234",
            "fax_number": "315-629-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25440 INDIAN RIVER DR",
            "city": "CALCIUM",
            "state": "NY",
            "postal_code": "136162213",
            "telephone_number": "315-629-4234",
            "fax_number": "315-629-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGS",
        "first_name": "HEATHER",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Lynn Dombroskas, RDH
• Lindsey R Heath, LMSW
• Cassady Schaffer, LPN

• Clinical Social Worker in Calcium, NY
• Providers in Calcium, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.