Individual provider Active NPI

Katie Lynn Young

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1609370121
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017299 Issued in NC
Practice address
356 Biltmore Ave Ste 200
Asheville, NC 28801-4558
Phone
(828) 254-2700
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P017299 NC Primary

Addresses

Primary practice location

356 Biltmore Ave Ste 200
Asheville, NC 28801-4558

Mailing address

356 Biltmore Ave Ste 200
Asheville, NC 28801-4558
Phone (828) 254-2700

Other names 1

  • Katie Lynn Blackmon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20250218001715 NC Practitioner - Clinical Social Worker 0244750529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P017299NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Health Services, Inc CurrentSince Oct 20, 2024 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Rha Health Services, Inc. CurrentSince Oct 20, 2024 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Ste 200
Asheville, NC 28801
Phone (828) 228-7512

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1609370121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 BILTMORE AVE STE 200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014558",
            "telephone_number": "828-254-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 BILTMORE AVE STE 200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014558",
            "telephone_number": "828-254-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BLACKMON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.