MRS. KRISTIN IRENE YOUNG (NPI# 1144300823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144300823 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN IRENE YOUNG |
| Credential | MSSW LCSW |
| Practice Address |
106 Cypress Ave East Arkansas Youth Services Marion AR 72364 |
| Mailing Address |
5060 Alrose Ave Memphis TN 38117-5802 |
| Practice Telephone | 8707394219 |
| Mailing Telephone | 9014811750 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LSW0000004978 | TN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2225-C | AR | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW 8403 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 7684118 00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083983993 | Kristin Amy Young | Social Worker | 55 Tupper Road, Sandwich, MA 02563-0233 | 2011-12-21 |
| 1235783259 | Kristin Lei Young | Counselor | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-07-29 |
| 1962904920 | Kristin Young | Behavior Technician | 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 | 2018-03-06 |
| 1073062741 | Kristin Young | Counselor | 1501 S. Clinton St., Mailstop Ct 05-13, Baltimore, MD 21224-5730 | 2016-09-22 |
| 1184006595 | Kristin Nicole Young | Nurse Practitioner | 1775 One Healing Pl, Tallahassee, FL 32308-4600 | 2015-06-22 |
| 1275927873 | Kristin Young | Marriage & Family Therapist | 700 E St, Suite 220, San Rafael, CA 94901-2762 | 2015-03-23 |
| Street Address |
106 CYPRESS AVE EAST ARKANSAS YOUTH SERVICES |
| City | MARION |
| State | AR |
| Zip Code | 72364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842949 | Lindsay Marie Miles | Social Worker | 309 7th Ave, Marion, IA 52302-5774 | 2020-05-14 |
| 1639654858 | Crystal Liedtke | Social Worker | 3403 Heartland St, Marion, IL 62959-6393 | 2018-10-03 |
| 1053890749 | Wayne Assing | Social Worker | 481 Delano Rd, Marion, MA 02738-5104 | 2018-08-13 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1073051934 | Hope Counseling Associates | Social Worker | 117 Primo Cir, Marion, AR 72364-9034 | 2017-02-10 |
| 1861934705 | Allen R Stata | Social Worker | 104 Edwards Drive, Marion, AL 36756 | 2016-11-09 |
| 1760875819 | Deanne M Ackley | Social Worker | 126 N Garden St, Marion, NC 28752-3710 | 2015-03-13 |
| 1528479334 | New Horizons Counseling Center | Social Worker | 219 E Lee St, Marion, VA 24354-2731 | 2014-05-14 |
| 1225453129 | Glenn Mccleese | Social Worker | 4333 Firstenberger Rd, Marion, OH 43302-8941 | 2014-02-28 |
| 1285071712 | Risa Stutz | Social Worker | 1301 Enterprise Way Ste 44, Marion, IL 62959-4442 | 2013-05-23 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.