Individual provider Active NPI

Victoria Faye Young, LCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1487800769
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3836 Issued in OR
Practice address
16 E 13TH St Uppr Suite
Lawrence, KS 66044-3502
Phone
(541) 222-0185
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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 L3836 OR Primary

Addresses

Primary practice location

16 E 13TH St Uppr Suite
Lawrence, KS 66044-3502

Mailing address

PO Box 12574
Overland Park, KS 66282-2574
Phone (541) 222-0185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20200902001499 KS Practitioner - Clinical Social Worker 2567519341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 E 13TH St
Lawrence, KS 66044-3502
Phone (913) 408-1044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L3836ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria F. Young, LLC CurrentSince May 14, 2020 Accepting new patients

Locations

16 E 13th St
Lawrence, KS 66044
Phone (785) 331-3400

16 E 13th St
Uppr
Lawrence, KS 66044
Phone (541) 222-0185

16 E 13th St
Ste 2
Lawrence, KS 66044

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1487800769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12574",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662822574",
            "telephone_number": "541-222-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 13TH ST UPPR SUITE",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443502",
            "telephone_number": "541-222-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "VICTORIA",
        "middle_name": "FAYE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.