Individual provider Active NPI

Kristin M Young

  • Social Worker
  • Mantua, NJ
National Provider Identifier
1972178341
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC06252300 Issued in NJ
Practice address
23E Starling CT
Mantua, NJ 08051-1324
Phone
(856) 237-5758
NPI assigned
May 26, 2021
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC06252300 NJ Primary

Addresses

Primary practice location

23E Starling CT
Mantua, NJ 08051-1324

Mailing address

23E Starling CT
Mantua, NJ 08051-1324
Phone (856) 237-5758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20231218001133 NJ Practitioner - Clinical Social Worker 3870942709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Link Wellness of NJ LLCGroup PAC ID 8123540630, 5 clinicians
Omni Health Services IncGroup PAC ID 1153571831, 20 clinicians

Practice addresses (Care Compare)

Englewood Cliffs, NJ 07632
Phone (718) 650-6230

120 S 6TH St
Vineland, NJ 08360-4605
Phone (856) 457-5814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intimate Healing Current Accepting new patients
Omni Health Services, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Omni Health Services, Inc. Current Accepting new patients
Omni Health Services Inc CurrentSince Oct 1, 2023 Accepting new patients
Link Wellness of NJ LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

516 Sylvan Ave
Englewood Cliffs, NJ 07632

1001 Route 27
Highland Park, NJ 08904
Phone (732) 572-2225

120 S 6th St
Vineland, NJ 08360
Phone (856) 457-5814

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1972178341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23E STARLING CT",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080511324",
            "telephone_number": "856-237-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23E STARLING CT",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080511324",
            "telephone_number": "856-237-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC06252300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mantua, NJ

Sources for this page

Verify at the official NPI Registry.