Individual provider Active NPI

Kristin Raine Young, LGSW

  • Social Worker
  • Morgantown, WV
National Provider Identifier
1386476497
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BP00946960 Issued in WV
Practice address
34 Commerce Dr Ste 204
Morgantown, WV 26501-3896
Phone
(304) 598-6066
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BP00946960 WV Primary

Addresses

Primary practice location

34 Commerce Dr Ste 204
Morgantown, WV 26501-3896

Mailing address

821 Charles Ave
Morgantown, WV 26505-5701
Phone (304) 516-2501

Other practice location 1

1277 Suncrest Town Centre Dr
Morgantown, WV 26505-1876
Phone (724) 686-3337

Other practice location 2

930 Chestnut Ridge Rd
Morgantown, WV 26505-2807
Phone (304) 598-4214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BP00946960WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Company PastSince Aug 1, 2024 Accepting new patients

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": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1386476497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 CHARLES AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055701",
            "telephone_number": "304-516-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 COMMERCE DR STE 204",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265013896",
            "telephone_number": "304-598-6066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1277 Suncrest Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051876",
            "country_code": "US",
            "telephone_number": "724-686-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 Chestnut Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265052807",
            "country_code": "US",
            "telephone_number": "304-598-4214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KRISTIN",
        "middle_name": "RAINE",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00946960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.