New Destiny Youth Facility, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NEW DESTINY YOUTH FACILITY, INC

Practice address

14 Claudia Autumn Dr
Bakersfield, CA 93314-4768

Phone

(661) 587-3194

Fax

(661) 587-6228

NPI assigned

Mar 29, 2018

Organization subpart

No

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

Authorized official

Name

Catherine Louise Powell

Title

Director

Phone

(661) 330-7357

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• New Destiny Youth Facility, Inc Doing business as

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1508361684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15508 GEORGES LETOUR AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933145334",
            "telephone_number": "661-330-7357",
            "fax_number": "661-587-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CLAUDIA AUTUMN DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933144768",
            "telephone_number": "661-587-3194",
            "fax_number": "661-587-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DESTINY YOUTH FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "661-330-7357"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Destiny Youth Facility, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.