Catawba Youth Services, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL018069 Issued in NC

Legal business name

CATAWBA YOUTH SERVICES, INC

Practice address

1823 Kincaid CT
Hickory, NC 28602-5547

Phone

(828) 294-0934

Fax

(828) 324-7354

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Vanessa Evans Linebarger, MSW, ACSW,LCSWNPI 1417266008

Title

Program Director

Phone

(828) 324-5463

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Catawba Youth Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Catawba Youth Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hickory, NC
  • NPI 1811038995
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanessa Evans Linebarger, MSW,LCSW

  • Clinical Social Worker
  • Hickory, NC
  • NPI 1417266008
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962543868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2681",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032681",
            "telephone_number": "828-324-5463",
            "fax_number": "828-324-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 KINCAID CT",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286025547",
            "telephone_number": "828-294-0934",
            "fax_number": "828-324-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA YOUTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINEBARGER",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "828-324-5463",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, ACSW,LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL018069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603641",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catawba Valley Neurofeedback and Counseling, PLLC
• Catawba Valley Neurosurgical & Spine Services PLLC
• Catawba Valley Psychological Associates
• Catawba Women'S Center
• Catawba Womens Center PA
• Catawba Youth Services, Inc.
• Teresa Harris Cating, NP-C
• Jeffrey N. Caudle, CRNA
• Kellie Shay Caudle
• Aimee L Cavendish, MD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Hickory, NC
• Providers in Hickory, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.