MEDICARE: MRS. MAUREEN R YOUNG LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	1022	AK

General Provider Information

NPI Number	:	1821392119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MAUREEN R YOUNG LCSW

Provider Business Mailing Address
First Line	:	PO BOX 91056
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99509
Country	:	US
Telephone Number	:	907-258-8003
Fax Number	:	907-258-8004

Provider Business Practice Location Address
First Line	:	1345 W. 9TH AVENUE
Second Line	:	SUITE 201
City	:	ANCHORAGE
State	:	AK
Zip	:	99501
Country	:	US
Telephone Number	:	907-258-8003
Fax Number	:	907-258-8004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2010
Last Update Date	:	01/06/2026

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