Active NPI
Michelle Lynn Young, LCSW-C, LCSW
- Clinical Social Worker
- Hanover, PA
National Provider Identifier
1508918350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12592
- Practice address
- 11 Carlisle St Unit 308
Hanover, PA 17331-2472 - Phone
- (717) 356-0773
- NPI assigned
- Jan 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW024529 | PA | |
| Clinical Social Worker | 1041C0700X | 12592 | MD | Primary |
Addresses
Primary practice location
11 Carlisle St Unit 308
Hanover, PA 17331-2472
Mailing address
11 Carlisle St Unit 308
Hanover, PA 17331-2472
Phone (717) 356-0773
Other names 1
- Ms. Michelle L Bernhardt
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12592 | MD | MD | Clinical Social Worker |
| CW024529 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1508918350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CARLISLE ST UNIT 308",
"city": "HANOVER",
"state": "PA",
"postal_code": "173312472",
"telephone_number": "717-356-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CARLISLE ST UNIT 308",
"city": "HANOVER",
"state": "PA",
"postal_code": "173312472",
"telephone_number": "717-356-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LCSW-C, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW024529",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "BERNHARDT",
"middle_name": "L",
"prefix": "MS.",
"credential": "LCSW-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.