Jessica A Young is a Clinical in Shelburne, Vermont. Jessica A Young practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica A Young is 1215902150. The last update date is 2021-07-23.
Jessica A Young's current location address is 145 Pine Haven Shores Rd, Shelburne, Vermont. You can contact this provider via phone number 8025570128. The mailing address for Jessica A Young is 145 Pine Haven Shores Rd, Shelburne, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica A Young |
|---|---|
| Address | 145 Pine Haven Shores Rd, Shelburne, Vermont |
| Phone Number | 8025570128 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1215902150 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2021-07-23 |
Provider Mailing Address Detail
| Address | 145 Pine Haven Shores Rd |
|---|---|
| City | Shelburne |
| State | Vermont (VT) |
| Post Code | 54827703 |
| Phone Number | 8025570128 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 089-0001077 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1011980 | VT | -- | |
| 68912 | VT | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Jessica A Young by the Centers for Medicare & Medicaid Services (CMS)?
The Jessica A Young has been assigned the NPI (National Provider Identifier) 1215902150. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jessica A Young?
The Jessica A Young is physically situated at 145 Pine Haven Shores Rd, in the city of Shelburne, state of VT, with the postal code 54827703.
What is Jessica A Young's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jessica A 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 Jessica A Young receive its 1215902150 assignment from the Centers for Medicare & Medicaid Services?
The Jessica A Young was assigned its 1215902150 by the Centers for Medicare & Medicaid Services on 2006-02-22.
As of what date was the information regarding Jessica A Young, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jessica A Young, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-07-23.
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