Individual provider Active NPI

Virginia Young-Hicks

  • Social Worker
  • Taylor, MI
National Provider Identifier
1831596022
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802086919 Issued in MI
Practice address
22243 Kinyon St
Taylor, MI 48180-3698
Phone
(313) 871-2337
Fax
(313) 871-1805
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6802086919 MI Primary

Addresses

Primary practice location

22243 Kinyon St
Taylor, MI 48180-3698

Mailing address

22243 Kinyon St
Taylor, MI 48180-3698
Phone (313) 871-2337

Other names 1

  • Virginia Young-Hicks Professional name

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

LicenseStateTypeSpecialty
6802086919MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1831596022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22243 KINYON ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803698",
            "telephone_number": "313-871-2337",
            "fax_number": "313-871-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22243 KINYON ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803698",
            "telephone_number": "313-871-2337",
            "fax_number": "313-871-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG-HICKS",
        "first_name": "VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802086919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "YOUNG-HICKS",
            "credential": "LLBSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.