Alicia Renee Youngblood, LMSW

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

55706 Issued in TX

Practice address

1326 Hunter Green LN
Fresno, TX 77545-7588

Phone

(281) 824-4047

NPI assigned

Aug 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Alicia Renee Hill Other name

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1720336217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 HUNTER GREEN LN",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775457588",
            "telephone_number": "281-824-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 HUNTER GREEN LN",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775457588",
            "telephone_number": "281-824-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "ALICIA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55706",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "55706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "HILL",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Winfield Home Health Services
• Womens Opportunity Mentorship Empowerment Network (SheJourneys in Wellness)
• Ronita M Woodruff, MS
• Kirshina Wynn, MA CCC/SLP
• Essie Yapo, R.EEG.T

• Case Management Agency in Fresno, TX
• Providers in Fresno, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.