Barbara Pancoast Young, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27036 Issued in ID

Practice address

1053 W Bridge St
Blackfoot, ID 83221

Phone

(208) 242-3044

NPI assigned

Oct 23, 2006

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Cognitive Restructuring, LLC.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pocatello, ID
  • NPI 1255971024
  NPD
• Turning Point Counseling & Partial Care Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pocatello, ID
  • NPI 1164639290
  NPD (past)
• Turning Point Counseling and Partial Care Center Inc

  • Mental Health Counselor
  • Pocatello, ID
  • NPI 1821161456
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1831272970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 NAVAJO ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043724",
            "telephone_number": "208-233-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 W BRIDGE ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "83221",
            "telephone_number": "208-242-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Highway 30 W",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832016001",
            "country_code": "US",
            "telephone_number": "208-234-9100",
            "fax_number": "208-234-9104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 N 7th Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832015796",
            "country_code": "US",
            "telephone_number": "208-242-3044 x163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BARBARA",
        "middle_name": "PANCOAST",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "27036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wray Dermatology
• Adam Wray, DO
• Amanda Wray, RPH
• Lee Brock Wren, OD
• Shawn A Wren, CRNA
• Sandee K Young, LCSW
• Aimee Y Zhang, MD

• Clinical Social Worker in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.