Individual provider Active NPI

Nicole L Young, LICSW

  • Clinical Social Worker
  • Gulf Shores, AL
National Provider Identifier
1619136645
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5323-C Issued in AL
Practice address
6061 Colonial Pkwy Unit 7103
Gulf Shores, AL 36542-5509
Phone
(617) 212-7645
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3456 KY
Clinical Social Worker 1041C0700X 5323-C AL Primary

Addresses

Primary practice location

6061 Colonial Pkwy Unit 7103
Gulf Shores, AL 36542-5509

Mailing address

6061 Colonial Pkwy Unit 7103
Gulf Shores, AL 36542-5509
Phone (270) 216-1662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20260131000303 AL Practitioner - Clinical Social Worker 1153506068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Collective LLCGroup PAC ID 6800252628, 22 clinicians

Practice addresses (Care Compare)

960 Downtowner Blvd
Mobile, AL 36609-5406
Phone (251) 480-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3456KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Collective LLC Clinical CurrentSince Feb 1, 2026 Accepting new patients
Attune Therapeutic Services Current Accepting new patients

Locations

3929 Airport Blvd
Ste 2-204
Mobile, AL 36609
Phone (251) 421-2812

960 Downtowner Blvd
Mobile, AL 36609
Phone (251) 480-0070

310 E Main Ave
Ste 209
Bowling Green, KY 42101

Organizations & group practices 2

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1619136645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 COLONIAL PKWY UNIT 7103",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365425509",
            "telephone_number": "270-216-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 COLONIAL PKWY UNIT 7103",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365425509",
            "telephone_number": "617-212-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3456",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5323-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Shores, AL

Sources for this page

Verify at the official NPI Registry.