Christina Marie Young, LLMSW
Individual provider Active NPI Clinical Social Worker · Memphis, MI
NPI 1992373542 · NPPES record last updated Jun 15, 2021
Key facts
- NPI
- 1992373542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801109826 (MI)
- Practice address
- 35379 Potter St
Memphis, MI 48041-4694 - Phone
- (586) 567-4474
- NPI assigned
- Jun 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801109826 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801109826 | MI | Yes |
Addresses
Primary practice location
35379 Potter St
Memphis, MI 48041-4694
Mailing address
35379 Potter St
Memphis, MI 48041-4694
Phone (586) 567-4474
Other providers in Memphis, MI
- Shana Lynn Spencer
- Jeffrey Michael Steenbergh
- James Leon Stevens
- Jillian Rosemary Suminski
- Rita Wichtner
- Gerald Charles Zemens
All providers in Memphis, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.