Individual provider Active NPI

Denise Lancaster-Young, MSW, ASW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1396280384
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73026 Issued in CA
Practice address
1209 S Hughes Ave
Fresno, CA 93706-2321
Phone
(559) 233-8340
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 73026 CA Primary

Addresses

Primary practice location

1209 S Hughes Ave
Fresno, CA 93706-2321

Mailing address

2550 W. Clinton Ave
Fresno, CA 93705
Phone (559) 264-7521

Other practice location 1

2550 W Clinton Ave
Fresno, CA 93705-4201
Phone (559) 264-7521 ext. 1100

Other practice location 2

1224 E Michigan Ave
Fresno, CA 93704-5731
Phone (559) 227-3454

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
73026CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan House Inc. PastSince Aug 2, 2020 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": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1396280384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W. CLINTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93705",
            "telephone_number": "559-264-7521",
            "fax_number": "559-441-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 S HUGHES AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937062321",
            "telephone_number": "559-233-8340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 W Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937054201",
            "country_code": "US",
            "telephone_number": "559-264-7521 x1100",
            "fax_number": "559-441-0354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937045731",
            "country_code": "US",
            "telephone_number": "559-227-3454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCASTER-YOUNG",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MSW, ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "73026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.