Richard C Young LCSW Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2006022838 Issued in MO

Legal business name

RICHARD C YOUNG LCSW INC

Practice address

412 S Clay Ave
Suite 200
Saint Louis, MO 63122-5860

Phone

(314) 550-2251

Fax

(314) 822-9696

NPI assigned

Jul 13, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Richard Charles Young, LCSWNPI 1063781631

Title

President

Phone

(314) 550-2251

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Charles Young, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1063781631
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405209600000",
    "number": "1699182592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S CLAY AVE",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225860",
            "telephone_number": "314-550-2251",
            "fax_number": "314-822-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S CLAY AVE",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225860",
            "telephone_number": "314-550-2251",
            "fax_number": "314-822-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C YOUNG LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-13",
        "last_updated": "2014-07-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-550-2251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2006022838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Mary Rich, M.D.
• Max Harrison Rich, MD
• Michael W Rich, MD
• Richard a Squires DDS PC
• Richard C Curtis Senior Services LLC
• Richard C. Walters, M.D., P.C.
• Alex Richard, MD
• Amy Michelle Richard, DC
• Cheryl L. Richard, APRN-BC
• Lois Frances Richard, MD

• Community/Behavioral Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.