Active NPI
Ann Marie Young, LMSW
- Clinical Social Worker
- Atlantic, IA
National Provider Identifier
1457523599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 03781
- Practice address
- 101 E 22ND St
Atlantic, IA 50022-2800 - Phone
- (712) 254-9018
- NPI assigned
- Mar 28, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 03781 | IA | Primary |
Addresses
Primary practice location
101 E 22ND St
Atlantic, IA 50022-2800
Mailing address
101 E 22ND St
Atlantic, IA 50022-2800
Phone (712) 254-9018
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03781 | Other | IA | LCSW |
| 1369004 | Other | IA | MEDICARE IB |
| 813671-000 | Medicaid | IA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1457523599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E 22ND ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500222800",
"telephone_number": "712-254-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E 22ND ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500222800",
"telephone_number": "712-254-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ANN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-28",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "03781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "03781",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IB",
"identifier": "1369004",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "813671-000",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlantic, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.