Kristin M Young
Individual provider Active NPI Social Worker · Mantua, NJ
NPI 1972178341 · NPPES record last updated Feb 20, 2025
Key facts
- NPI
- 1972178341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 44SC06252300 (NJ)
- Practice address
- 23E Starling CT
Mantua, NJ 08051-1324 - Phone
- (856) 237-5758
- NPI assigned
- May 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- 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 LLC
Omni Health Services Inc
Practice addresses (Care Compare)
Englewood Cliffs, NJ 07632
Phone (718) 650-6230
120 S 6TH St
Vineland, NJ 08360-4605
Phone (856) 457-5814
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231218001133 | NJ | Practitioner - Clinical Social Worker | 3870942709 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Health Services, Inc. | Current |
Accepting new patients | |
| Intimate Healing | Current | Accepting new patients | |
| Omni Health Services Inc | Current |
Accepting new patients | |
| Omni Health Services, Inc. | Current | Accepting new patients | |
| Link Wellness of NJ LLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SC06252300 | NJ | Yes |
Addresses
Primary practice location
23E Starling CT
Mantua, NJ 08051-1324
Mailing address
23E Starling CT
Mantua, NJ 08051-1324
Phone (856) 237-5758
Other providers in Mantua, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.