Joel F Young, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1060 Gaffney Rd
Fort Wainwright, AK 99703-5002

Phone

(907) 353-4126

NPI assigned

Sep 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1538440193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CORNELL WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997092926",
            "telephone_number": "907-460-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035002",
            "telephone_number": "907-353-4126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3830 S Cushman St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997017530",
            "country_code": "US",
            "telephone_number": "907-455-1416",
            "fax_number": "907-455-1487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOEL",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Wonderlich Jr., MD
• Gina Wulff, RDN
• Vicki J Wyan, DMD
• Don Yamashita
• Raul Neftali Young-Rodriguez, M.D.
• Andrey Yusupov, M.D.
• Karyn Zaage, DPT, ATC
• Timothy James Zerhusen Jr., MD
• Lingbin Zhu
• Katherine B Zorb, RN

• Clinical Social Worker in Fort Wainwright, AK
• Providers in Fort Wainwright, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.