Peter S Young, RCSWI

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ISW12744 Issued in FL

Practice address

16565 NE 4TH Ave
Miami, FL 33162-3511

Phone

(786) 354-1022

NPI assigned

Mar 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584835200000",
    "number": "1679109524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 COLLINS AVE APT 1711",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402256",
            "telephone_number": "786-354-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16565 NE 4TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623511",
            "telephone_number": "786-354-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6039 Collins Ave Apt 1711",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402256",
            "country_code": "US",
            "telephone_number": "786-354-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PETER",
        "middle_name": "S",
        "credential": "RCSWI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-22",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW12744",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW12744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Young
• Kyra-Angel D Young, PA-C
• Lianne Young, PHARMD
• Mark P Young, M.D.
• Perri Elizabeth Young, M.D.
• Rebecca Young
• Sandra W Young, MSN, ARNP, BC
• Shantai L. Young, MSW
• Sharon Young
• Tiffany Alicia Young, APRN

• Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; 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.