Individual provider Active NPI

David A Youhess, LCSW

  • Clinical Social Worker
  • Amherst, NY
National Provider Identifier
1467982355
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091078-01 Issued in NY
Practice address
3960 Harlem Rd Ste 15
Amherst, NY 14226-4706
Phone
(716) 771-2744
NPI assigned
Jun 14, 2017
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 091078-01 NY Primary

Addresses

Primary practice location

3960 Harlem Rd Ste 15
Amherst, NY 14226-4706

Mailing address

3960 Harlem Rd Ste 15
Amherst, NY 14226-4706
Phone (716) 713-7288

Other identifiers 1

IdentifierTypeStateIssuer
06493838MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20210426002521 NY Practitioner - Clinical Social Worker 4688082936 Practice locations: Amherst, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091078-01NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1467982355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 HARLEM RD STE 15",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264706",
            "telephone_number": "716-713-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 HARLEM RD STE 15",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264706",
            "telephone_number": "716-771-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUHESS",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091078-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06493838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.