Kimberly Knowlton-Young, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1824 Issued in NH

Practice address

20 W Park St
Lebanon, NH 03766-1378

Phone

(339) 440-1103

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VT, NH2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kimberly Knowlton-Young, Licsw Inc.

  • Clinical Social Worker
  • Lebanon, NH
  • NPI 1801498928
  NPD Authorized official
• North Shore Counseling Center Inc

  • Counselor
  • Beverly, MA
  • NPI 1023187366

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1497806889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W PARK ST",
            "address_2": "OPTIONAL",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03766",
            "telephone_number": "339-440-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W PARK ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661378",
            "telephone_number": "339-440-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON-YOUNG",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.kimberlyknowlton-young.com",
            "affiliation": "N",
            "address_1": "20 W Park St",
            "city": "Lebanon",
            "state": "NH",
            "country_code": "US",
            "postal_code": "037661378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberlyknowltonyoung@hushmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20 W Park St",
            "city": "Lebanon",
            "state": "NH",
            "country_code": "US",
            "postal_code": "037661378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Powers Knapp
• Julia C Knight, MD
• Calvin Roy Knights, D.M.D
• Kimberly Dawn Knoerlein
• Melissa Lyn Knott
• Douglas J Knuth
• Erin Knuuti, APRN
• Erik J. Kobylarz, MD, PHD
• Samuel Kocen
• David E Koch, APRN

• Clinical Social Worker in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.