Active NPI
Melissa Lynn Young, LCSW
- Clinical Social Worker
- Boise, ID
National Provider Identifier
1386767333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-27329
- Practice address
- 6140 W Emerald St
Boise, ID 83704-8857 - Phone
- (208) 367-3300
- Fax
- (208) 367-3308
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-27329 | ID | Primary |
Addresses
Primary practice location
6140 W Emerald St
Boise, ID 83704-8857
Mailing address
6140 W Emerald St
Boise, ID 83704-8857
Phone (208) 367-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-27329 | ID | MD | Clinical Social Worker |
| 1902 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Clinical | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Safe Connections, LLC. | Clinical | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Tanta Inc | Clinical | Past | Accepting new patients |
| Saint Alphonsus Regional Medical Center | Past | Accepting new patients |
Locations
7285 W Franklin Rd
Boise, ID 83709
Phone (208) 853-5095
413 W Idaho St
Ste 302
Boise, ID 83702
Phone (208) 333-8333
6140 W Emerald St
Boise, ID 83704
Phone (208) 367-3300
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
Organizations & group practices 6
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.
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
-
- Mental Health Counselor
- Boise, ID
- NPI 1699890574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1386767333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048857",
"telephone_number": "208-367-3300",
"fax_number": "208-367-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048857",
"telephone_number": "208-367-3300",
"fax_number": "208-367-3308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MELISSA",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-27329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.