Active NPI
Raquel Young
- Social Worker
- Gary, IN
National Provider Identifier
1760010748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1044 Harrison Blvd
Gary, IN 46402-2857 - Phone
- (219) 381-1843
- NPI assigned
- Mar 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1044 Harrison Blvd
Gary, IN 46402-2857
Mailing address
1605 Adler Cir Ste a
Portage, IN 46368-6414
Phone (219) 762-3465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1760010748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 ADLER CIR STE A",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463686414",
"telephone_number": "219-762-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 HARRISON BLVD",
"city": "GARY",
"state": "IN",
"postal_code": "464022857",
"telephone_number": "219-381-1843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "RAQUEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.