Breanne Young, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-34872 Issued in ID

Practice address

8100 W Emerald St Ste 150
Boise, ID 83704-9057

Phone

(208) 375-0752

Fax

(208) 375-0796

NPI assigned

Oct 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1982074027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W EMERALD ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049057",
            "telephone_number": "208-375-0752",
            "fax_number": "208-375-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W EMERALD ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049057",
            "telephone_number": "208-375-0752",
            "fax_number": "208-375-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BREANNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-34872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Jenn You, MD
• Dean Younce, DMD
• Amber Morse Young, M.ED. BCBA
• Angela Young, D.C.
• Ann O. Young, MSW, LCSW
• Corbin Young
• Debbie L Young, MD
• Elizabeth Cynthia Young, MA, LCPC
• Glenda Young
• Hanna McKenzie Young, LCSW

• Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.