Fern Renee Young

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-962 Issued in WY

Practice address

1116 4TH Ave E SPC 2
Sheridan, WY 82801-6254

Phone

(307) 620-0559

NPI assigned

Aug 18, 2015

Last updated

Nov 15, 2016By the provider in NPPES

Sex

Female

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

Enrolled in WY

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 1

Specialty

Clinical Social Worker

Education

Other, 2012

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• True North Life Quest, LLC

  • Clinical Social Worker
  • Sheridan, WY
  • NPI 1205686946
  NPD Authorized official

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1609242262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 4TH AVE E SPC 2",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016254",
            "telephone_number": "307-620-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 4TH AVE E SPC 2",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016254",
            "telephone_number": "307-620-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "FERN",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyssmann Psychological & Counseling, LLC
• James William Wyssmann, PHD
• Victor P Yapuncich, M.D.
• Chelsey Yellowtail, FNP-C
• Elizabeth Dell Young
• Your Service Animal LLC
• Sherri Zdziarski, RN
• Jeremy Paul Zebroski, M.D.
• Zeigler Investment Group, LLC (Bighorn Mountain Chiropractic & Acupuncture)
• Gabriel Timothy Zeigler, DC

• Clinical Social Worker in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.