Taylor K Young, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121515 Issued in MA

Practice address

1685 Beacon St Ste 1C
Brookline, MA 02445-4411

Phone

(617) 467-4136

NPI assigned

Oct 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Boston Behavior Learning Centers

  • Behavior Analyst
  • Newton, MA
  • NPI 1164978722
  NPD (past)

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1982155032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 WASHINGTON ST APT 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021311747",
            "telephone_number": "508-277-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 BEACON ST STE 1C",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454411",
            "telephone_number": "617-467-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TAYLOR",
        "middle_name": "K",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000221941",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie D Yeterian, PH.D.
• Moka Yoo-Jeong
• Juliana Yoo
• Chang Goo Yoon, P.T.,DPT
• Justin Yoon, DPT
• Carol Chu Yu, PHD
• Jianming Yu, DMD
• Lani Yujiri
• Yuko McColgan MD LLC
• Mimi Ryung Yum, M.D.

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.