Richard Dwayne Young in Southlake - Clinical
Richard Dwayne Young - NPI 1578789327
Richard Dwayne Young is a Clinical in Southlake, Texas. Richard Dwayne Young practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard Dwayne Young is 1578789327. The last update date is 2016-11-29.
Richard Dwayne Young's current location address is 904 Hillcrest Trl, Southlake, Texas. You can contact this provider via phone number 2252020236. The mailing address for Richard Dwayne Young is 904 Hillcrest Trl, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Dwayne Young |
|---|---|
| Address | 904 Hillcrest Trl, Southlake, Texas |
| Phone Number | 2252020236 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1578789327 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2016-11-29 |
Provider Mailing Address Detail
| Address | 904 Hillcrest Trl |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 760928447 |
| Phone Number | 2252020236 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 57515 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Richard Dwayne Young's 1578789327?
The Richard Dwayne Young's NPI (National Provider Identifier) Number is 1578789327. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Richard Dwayne Young located?
The Richard Dwayne Young is located at 904 Hillcrest Trl, Southlake, TX 760928447.
What is Richard Dwayne Young's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard Dwayne Young's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578789327 to Richard Dwayne Young?
The Centers for Medicare & Medicaid Services assigned the 1578789327 to Richard Dwayne Young on 2007-04-18.
When was the Richard Dwayne Young's information last updated?
The Richard Dwayne Young's information was last updated on 2016-11-29.
NPI Number: 1063415297
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