Rachel J Youngblood, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

37994 Issued in TX

Practice address

13283 State Highway 155 N
Ore City, TX 75683-3538

Phone

(903) 968-4641

Fax

(903) 968-4927

NPI assigned

May 13, 2010

Last updated

May 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brittain & Associates Inc

  dba Carousel Clinical Services

  • Clinical Psychologist
  • Ore City, TX
  • NPI 1285650457
  NPD (past)

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1801114996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 GLENDALE ST",
            "city": "QUEEN CITY",
            "state": "TX",
            "postal_code": "755722576",
            "telephone_number": "430-342-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13283 STATE HIGHWAY 155 N",
            "city": "ORE CITY",
            "state": "TX",
            "postal_code": "756833538",
            "telephone_number": "903-968-4641",
            "fax_number": "903-968-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "RACHEL",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "37994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell Smith, LPC
• Catherine Juario Smithson
• Billie Jean Stowe
• Michael Eugene Walker, PH.D.
• Leah Woods

• Social Worker in Ore City, TX
• Providers in Ore City, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.