Individual provider Active NPI

Cynthia L Young, LCSW

  • Clinical Social Worker
  • Plantation, FL
National Provider Identifier
1649597675
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12586 Issued in FL
Practice address
710 NW 134TH Ter
Plantation, FL 33325-6164
Phone
(954) 632-1556
NPI assigned
Apr 30, 2010
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0900259 OH
Clinical Social Worker 1041C0700X LCS19183 CA
Clinical Social Worker 1041C0700X SW12586 FL Primary

Addresses

Primary practice location

710 NW 134TH Ter
Plantation, FL 33325-6164

Mailing address

710 NW 134TH Ter
Plantation, FL 33325-6164
Phone (954) 632-1556

Other practice location 1

10921 Reed Hartman Hwy
Suite 133
Cincinnati, OH 45242-2830
Phone (513) 984-9838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150901001379 FL Practitioner - Clinical Social Worker 2961694641 Practice locations: Plantation, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

710 NW 134TH Ter
Plantation, FL 33325-6164
Phone (954) 632-1556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS19183CAMDClinical Social Worker
SW12586FLMDClinical Social Worker
I0900259OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Source Foundation, Inc. PastSince Nov 1, 2008 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1649597675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 NW 134TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333256164",
            "telephone_number": "954-632-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NW 134TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333256164",
            "telephone_number": "954-632-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10921 Reed Hartman Hwy",
            "address_2": "Suite 133",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452422830",
            "country_code": "US",
            "telephone_number": "513-984-9838",
            "fax_number": "513-984-8074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0900259",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19183",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.