Healthcare Provider Details

I. General information

NPI: 1528792744
Provider Name (Legal Business Name): ALLISON MEI YOUNG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2022
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3703 LONG BEACH BLVD STE 400
LONG BEACH CA
90807-3332
US

IV. Provider business mailing address

3703 LONG BEACH BLVD STE 400
LONG BEACH CA
90807-3332
US

V. Phone/Fax

Practice location:
  • Phone: 562-427-3897
  • Fax: 562-309-9998
Mailing address:
  • Phone: 562-427-3897
  • Fax: 562-309-9998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number133978
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: