Active NPI
Merlin R Young, PH.D., MSW, LCSW
- Social Worker
- Luling, LA
National Provider Identifier
1457522716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4623
- Practice address
- 843 Milling Ave
Luling, LA 70070-4442 - Phone
- (985) 785-5852
- Fax
- (985) 785-5811
- NPI assigned
- Mar 14, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 4623 | LA | Primary |
Addresses
Primary practice location
843 Milling Ave
Luling, LA 70070-4442
Mailing address
843 Milling Ave
Luling, LA 70070-4442
Phone (985) 785-5852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4623 | Other | LA | LCSW LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4623 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Health Louisiana | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AHL Eye Associates of West Jefferson
- Federally Qualified Health Center (FQHC)
- Marrero, LA
- NPI 1255226429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1457522716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 MILLING AVE",
"city": "LULING",
"state": "LA",
"postal_code": "700704442",
"telephone_number": "985-785-5852",
"fax_number": "985-785-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "843 MILLING AVE",
"city": "LULING",
"state": "LA",
"postal_code": "700704442",
"telephone_number": "985-785-5852",
"fax_number": "985-785-5811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MERLIN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D., MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-14",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "4623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW LICENSE",
"identifier": "4623",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Luling, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.