Active NPI
Joanne M Young, LCSW
- Social Worker
- Capitola, CA
National Provider Identifier
1821116344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS100
- Practice address
- 820 Bay Avenue
Suite 205
Capitola, CA 95010 - Phone
- (831) 462-1849
- Fax
- (831) 479-9048
- NPI assigned
- Mar 26, 2007
- Last updated
- Aug 8, 2010
- 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 | LCS100 | CA | Primary |
Addresses
Primary practice location
820 Bay Avenue
Suite 205
Capitola, CA 95010
Mailing address
820 Bay Avenue
Suite 205
Capitola, CA 95010
Phone (831) 476-1243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS100 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281225600000",
"number": "1821116344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 BAY AVENUE",
"address_2": "SUITE 205",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "95010",
"telephone_number": "831-476-1243",
"fax_number": "831-479-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 BAY AVENUE",
"address_2": "SUITE 205",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "95010",
"telephone_number": "831-462-1849",
"fax_number": "831-479-9048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JOANNE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2010-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.