Active NPI
Carol Lynn Youtz
- Social Worker
- Albany, NY
National Provider Identifier
1497905335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5678185
- Practice address
- 260 S Pearl St
Albany, NY 12202-1809 - Phone
- (518) 447-4555
- Fax
- (518) 447-4661
- NPI assigned
- Sep 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5678185 | NY | Primary |
Addresses
Primary practice location
260 S Pearl St
Albany, NY 12202-1809
Mailing address
260 S Pearl St
Albany, NY 12202-1809
Phone (518) 447-4555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5678185 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schenectady Mental Health Associates | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Schenectady, NY
- NPI 1770721698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1497905335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 S PEARL ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122021809",
"telephone_number": "518-447-4555",
"fax_number": "518-447-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 S PEARL ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122021809",
"telephone_number": "518-447-4555",
"fax_number": "518-447-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUTZ",
"first_name": "CAROL",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "5678185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.