Active NPI
Amy L Young, LCSW
- Clinical Social Worker
- Westport, CT
National Provider Identifier
1962882563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004325
- Practice address
- 47 Long Lots Rd
Westport, CT 06880-3828 - Phone
- (203) 341-4512
- Fax
- (203) 227-9526
- NPI assigned
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 004325 | CT | Primary |
Addresses
Primary practice location
47 Long Lots Rd
Westport, CT 06880-3828
Mailing address
47 Long Lots Rd
Westport, CT 06880-3828
Phone (203) 341-4512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Young LCSW - PLLC | Clinical | Current | Accepting new patients |
| Neighborhood Health, Inc. | Current | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
179 Post Rd W
Fl 2
Westport, CT 06880
Phone (201) 248-7361
47 Long Lots Rd
Westport, CT 06880
Phone (203) 221-8801
Organizations & group practices 2
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.
-
- General Practice Physician
- Torrington, CT
- NPI 1043544489
-
- Clinical Social Worker
- Westport, CT
- NPI 1356201792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1962882563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 LONG LOTS RD",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803828",
"telephone_number": "203-341-4512",
"fax_number": "203-227-9526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 LONG LOTS RD",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803828",
"telephone_number": "203-341-4512",
"fax_number": "203-227-9526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.