Individual provider Active NPI

Linda D Young, L.S.C.S.W.

  • Clinical Social Worker
  • Winfield, KS
National Provider Identifier
1811096472
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1600 Issued in KS
Practice address
22214 D St
Strother Field
Winfield, KS 67156-7376
Phone
(620) 442-4540
Fax
(620) 442-4559
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1600 KS Primary

Addresses

Primary practice location

22214 D St
Strother Field
Winfield, KS 67156-7376

Mailing address

31111 51St Dr
Arkansas City, KS 67005-5492
Phone (620) 442-0935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602002005 KS Practitioner - Clinical Social Worker 8123038676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Key Rehabilitation IncGroup PAC ID 9638086432, 59 clinicians

Practice addresses (Care Compare)

203 E Osage Ave
Geropsych a Division of Key Rehabilitation
Arkansas City, KS 67005-1255
Phone (620) 442-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1600KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Key Rehabilitation, Inc CurrentSince May 19, 2014 Accepting new patients
Key Rehabilitation, Inc CurrentSince May 19, 2014 Accepting new patients
Cowley County Mental Health Center PastSince Nov 3, 2000 Accepting new patients

Locations

203 E Osage Ave
#A
Arkansas City, KS 67005
Phone (620) 442-9300

2020 N Tyler Rd
Wichita, KS 67212
Phone (316) 295-4591

1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811096472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31111 51ST DR",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670055492",
            "telephone_number": "620-442-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22214 D ST",
            "address_2": "STROTHER FIELD",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671567376",
            "telephone_number": "620-442-4540",
            "fax_number": "620-442-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LINDA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "L.S.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

Verify at the official NPI Registry.