Individual provider Active NPI

Madeline Young, LSWAIC; LMT

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1982189825
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61309891 Issued in WA
Practice address
1001 W Howe St
Seattle, WA 98119-2971
Phone
(503) 459-7201
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 60894735 WA
Clinical Social Worker 1041C0700X SC61309891 WA Primary

Addresses

Primary practice location

1001 W Howe St
Seattle, WA 98119-2971

Mailing address

1001 W Howe St
Seattle, WA 98119-2971
Phone (503) 459-7201

Other practice location 1

3601 Fremont Ave N
Seattle, WA 98103-2709
Phone (206) 853-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC61309891WAMDClinical Social Worker
60894735WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1982189825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W HOWE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192971",
            "telephone_number": "503-459-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W HOWE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192971",
            "telephone_number": "503-459-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 Fremont Ave N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981032709",
            "country_code": "US",
            "telephone_number": "206-853-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MADELINE",
        "credential": "LSWAIC; LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60894735",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61309891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.