Theresa Ellen Young is a Clinical in Provo, Utah. Theresa Ellen Young practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theresa Ellen Young is 1780890939. The last update date is 2020-06-10.
Theresa Ellen Young's current location address is 750 N Freedom Blvd, Provo, Utah. You can contact this provider via phone number 8013734760 and fax number 8013760639. The mailing address for Theresa Ellen Young is 750 N Freedom Blvd, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Ellen Young |
|---|---|
| Address | 750 N Freedom Blvd, Provo, Utah |
| Phone Number | 8013734760 |
| Fax Number | 8013760639 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1780890939 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2020-06-10 |
Provider Mailing Address Detail
| Address | 750 N Freedom Blvd |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846011677 |
| Phone Number | 8013734760 |
| Fax Number | 8013760639 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5206693-3501 |
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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 unique 10-digit identifier code assigned to Theresa Ellen Young by the Centers for Medicare & Medicaid Services?
The Theresa Ellen Young has been issued the NPI (National Provider Identifier) 1780890939 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Theresa Ellen Young located?
The Theresa Ellen Young is located at 750 N Freedom Blvd, Provo, UT 846011677.
What is Theresa Ellen Young's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Theresa Ellen Young is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did Theresa Ellen Young receive its 1780890939 assignment from the Centers for Medicare & Medicaid Services?
The Theresa Ellen Young was assigned its 1780890939 on 2007-05-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Theresa Ellen Young's information last updated?
The Theresa Ellen Young's information was last updated on 2020-06-10.
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