KRISTEN LEE YOUNGSTROM


Address: 1410 Pleasant Valley Dr, Catonsville, MD 21228-2539
Phone: 4108870857

KRISTEN LEE YOUNGSTROM (NPI# 1629534136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629534136
Entity Type Individual
Full Name KRISTEN LEE YOUNGSTROM
Credential LCSW-C
Practice Address 1410 Pleasant Valley Dr
Catonsville
MD 21228-2539
Mailing Address 9332 Cross Timbers Ct
Laurel
MD 20723-1757
Practice Telephone 4108870857
Mailing Telephone 4109175678
Enumeration Date 2019-02-20
Last Update Date 2019-02-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
17680 MD Behavioral Health & Social Service Providers

Office Location

Street Address 1410 PLEASANT VALLEY DR
City CATONSVILLE
State MD
Zip Code 21228-2539

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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City CATONSVILLE
Zip Code 21228

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Dataset Information

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.

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