Active NPI
Kathryn M Young, MSW, LCSW
- Clinical Social Worker
- Enfield, CT
National Provider Identifier
1902128499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 209837
- Practice address
- 175 Cottage Rd
Enfield, CT 06082 - Phone
- (413) 788-0211
- Fax
- (413) 788-0211
- NPI assigned
- Feb 24, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 209837 | MA | Primary |
Addresses
Primary practice location
175 Cottage Rd
Enfield, CT 06082
Mailing address
57 Oak Street
West Springfield, MA 01089
Phone (413) 788-0211
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1902128499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 OAK STREET",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "01089",
"telephone_number": "413-788-0211",
"fax_number": "413-788-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 COTTAGE RD",
"city": "ENFIELD",
"state": "CT",
"postal_code": "06082",
"telephone_number": "413-788-0211",
"fax_number": "413-788-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "KATHRYN",
"middle_name": "M",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "209837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.