Individual provider Active NPI

Teryn Marie Young, LCSW

  • Clinical Social Worker
  • Wheaton, IL
National Provider Identifier
1932978285
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.028997 Issued in IL
Practice address
124 S County Farm Rd Ste C
Wheaton, IL 60187-4596
Phone
(815) 661-5532
NPI assigned
Dec 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.110980 IL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 150.110980 IL
Clinical Social Worker 1041C0700X 149.028997 IL Primary

Addresses

Primary practice location

124 S County Farm Rd Ste C
Wheaton, IL 60187-4596

Mailing address

411 Beaver CT
Oswego, IL 60543-8655
Phone (630) 731-0868

Other practice location 1

411 Beaver Ct
Oswego, IL 60543-8655
Phone (630) 731-0868

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
149.028997ILMDClinical Social Worker
150.110980ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teryn'S Therapy & Wellness, PLLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

124 S County Farm Rd
Ste C
Wheaton, IL 60187
Phone (815) 661-5532

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1932978285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BEAVER CT",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438655",
            "telephone_number": "630-731-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S COUNTY FARM RD STE C",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874596",
            "telephone_number": "815-661-5532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Beaver Ct",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605438655",
            "country_code": "US",
            "telephone_number": "630-731-0868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TERYN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.110980",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.110980",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.