Fanike-Kiara Olugbala Young, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004694 Issued in GA

Practice address

157 Forsyth St SW
Atlanta, GA 30303-3634

Phone

(770) 502-5593

NPI assigned

Aug 25, 2011

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

Medicare fee-for-service enrollment

Enrolled in GA

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walker Family Services LLCGroup PAC ID 5890062053, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Walker Family Services LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1861803546

  GA

  Medicare reassignment Care Compare group
• Keys to a Better Chance Counseling and Consulting, LLC

  • Case Management Agency
  • Duluth, GA
  • NPI 1457653339
  NPD
• Keys to Women'S Wellness LLC

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1912252313

  Clinical

  NPD
• Wellmiss Company

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
  • NPI 1700564234
  NPD (past)

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1407136146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2283 NOTTLEY WALK",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300668610",
            "telephone_number": "770-502-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 FORSYTH ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033634",
            "telephone_number": "770-502-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "FANIKE-KIARA",
        "middle_name": "OLUGBALA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Young, M.D.
• Deborah Young, MD
• Delisa E Young
• Elise Levens Young, D.C.
• Ethan Young, PHARMD
• Gabriela Lucia Young, RD
• Heather Denices Young, PHARMD
• India Lashawn Young, LPC
• Janet Lynn Young, D.C.
• Jasmine Neoki Young, PMHNP

• All providers in Atlanta, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.
• 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.