Jared Paul Young, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L17828 Issued in OR

Practice address

632 Anderson Ave Ste L
Coos Bay, OR 97420-1637

Phone

(385) 285-0386

NPI assigned

Oct 5, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1467124602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 ANDERSON AVE STE L",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201637",
            "telephone_number": "385-285-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 ANDERSON AVE STE L",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201637",
            "telephone_number": "385-285-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JARED",
        "middle_name": "PAUL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L17828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hee Ran Yang
• Angela Renee York, N.P.
• Jon Yost, M.D.
• Alice Rachel Young, PA
• Bonnie Leann Young
• Nina Yu
• Hazel Ann Zaballero, PHARMD
• Elizabeth Zaffina
• Rex Christian Zeebuyth, RPH
• David Sterling Zelman, PHARMD, MS, BCPS,RPH

• Clinical Social Worker in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.