Melissa Young, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW22744 Issued in DC

Practice address

4670 Lipscomb St NE Ste 11
Palm Bay, FL 32905-2927

Phone

(407) 875-3700

NPI assigned

Mar 26, 2024

Sex

Female

Sole proprietor

No

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

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Univ of Central Florida, College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M3 Haven Inc.Group PAC ID 9436698040, 7 clinicians

Practice addresses (Care Compare)

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.

• M3 Haven Inc.

  dba Ellie Mental Health - Space Coast

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1831945484
  Medicare reassignment Care Compare group NPD
• Aspire Health Partners, Inc.

  • Institutional Pharmacy
  • Orlando, FL
  • NPI 1982769188
  NPD

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1841040474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 ADANSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 LIPSCOMB ST NE STE 11",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052927",
            "telephone_number": "407-875-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "SW22744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth M Yip-Young, D.D.S.
• Kimara Kimbel Young-Murray
• Crystal Young
• Lisa Marie Young
• Lisa S. Young
• Syed Farhan Zaidi, MD
• Bahgat Monir Zakhary
• Mina Zakhary
• Charissa Danielle Zayas, LCSW
• Tessa Zeszutko

• Clinical Social Worker in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.