Active NPI
Erin Young, LCSW
- Clinical Social Worker
- Tyler, TX
National Provider Identifier
1831514272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 40799
- Practice address
- 3800 Paluxy Dr Ste 240
Tyler, TX 75703-1667 - Phone
- (903) 283-8729
- NPI assigned
- Feb 21, 2014
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 40799 | TX | Primary |
Addresses
Primary practice location
3800 Paluxy Dr Ste 240
Tyler, TX 75703-1667
Mailing address
3800 Paluxy Dr Ste 240
Tyler, TX 75703-1667
Phone (903) 283-8729
Other practice location 1
2003 Rickety Ln
Suite B
Tyler, TX 75703-1706
Phone (903) 283-8729
Other practice location 2
3800 Paluxy Dr Ste 240
Tyler, TX 75703-1667
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40799 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge Therapeutic Services PLLC | Clinical | Past | Accepting new patients |
| Nancy G. Mayer | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Tyler, TX
- NPI 1174006084
-
- Professional Counselor
- Tyler, TX
- NPI 1336555499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1831514272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 PALUXY DR STE 240",
"city": "TYLER",
"state": "TX",
"postal_code": "757031667",
"telephone_number": "903-283-8729",
"fax_number": "888-454-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 PALUXY DR STE 240",
"city": "TYLER",
"state": "TX",
"postal_code": "757031667",
"telephone_number": "903-283-8729"
}
],
"practiceLocations": [
{
"address_1": "2003 Rickety Ln",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757031706",
"country_code": "US",
"telephone_number": "903-283-8729",
"fax_number": "888-454-9083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 Paluxy Dr Ste 240",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757031667",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "ERIN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-21",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "40799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.