Julie M Young, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW112832 Issued in CA

Practice address

202 E Airport Dr Ste 265
San Bernardino, CA 92408-3444

Phone

(267) 625-8611

NPI assigned

Jan 17, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindful Lemon Marriage and Family Therapy IncGroup PAC ID 8921499096, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Lemon Marriage and Family Therapy, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Clarita, CA
  • NPI 1487324463

  Clinical

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• TML Behavioral Health Group LLC

  dba TML Villa Canyon

  • Psychiatric Residential Treatment Facility
  • Castaic, CA
  • NPI 1003661737
  NPD

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1366157125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10553 WESTONHILL DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262819",
            "telephone_number": "267-625-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E AIRPORT DR STE 265",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083444",
            "telephone_number": "267-625-8611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10553 Westonhill Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921262819",
            "country_code": "US",
            "telephone_number": "267-625-8611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW112832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jyknowit@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "10553 Westonhill Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921262819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Young Visionaries Youth Leadership Academy (Successfully Motivating African Americans through resiliency training)
• Young Visionaries Youth Leadership Academy
• Jeanetta Latrice Young-Yeboah
• David Matthew Young, PH.D.
• Haeley Young
• Kyle Young
• La Shan Young
• Margo Patricia Young, M.D.
• Rebecca Young
• Richard Alex Young, DENTIST

• Clinical Social Worker in San Bernardino, CA
• Providers in San Bernardino, 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 Jan 17, 2023; 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.