Healthcare Provider Details

I. General information

NPI: 1306249263
Provider Name (Legal Business Name): SARAH YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH HORTON M.S.W

II. Dates (important events)

Enumeration Date: 10/06/2014
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 CALLE TECATE
CAMARILLO CA
93012-5056
US

IV. Provider business mailing address

3601 CALLE TECATE
CAMARILLO CA
93012-5056
US

V. Phone/Fax

Practice location:
  • Phone: 805-289-0120
  • Fax:
Mailing address:
  • Phone: 805-972-1240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW114498
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: