Individual provider Active NPI

Amy Elizabeth Young, LCSW

  • Clinical Social Worker
  • Decatur, TX
National Provider Identifier
1962149245
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
328 Windy Glen Dr
Decatur, TX 76234-4246
Phone
(940) 210-8009
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

328 Windy Glen Dr
Decatur, TX 76234-4246

Mailing address

328 Windy Glen Dr
Decatur, TX 76234-4246
Phone (940) 210-8009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230608000985 TX Practitioner - Clinical Social Worker 2365809258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Emotional Wellness PCGroup PAC ID 1153773155, 5 clinicians

Practice addresses (Care Compare)

1602 W Business
380 Suite 100
Decatur, TX 76234-3267
Phone (940) 539-0683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24528TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Emotional Wellness, PC CurrentSince May 18, 2024 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince May 25, 2023 Accepting new patients
Wise Clinical Care Associates Clinical CurrentSince May 18, 2024 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

1602 W Business 380
Ste 100
Decatur, TX 76234
Phone (940) 539-0683

Organizations & group practices 3

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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1962149245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 WINDY GLEN DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762344246",
            "telephone_number": "940-210-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 WINDY GLEN DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762344246",
            "telephone_number": "940-210-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.