Healthcare Provider Details

I. General information

NPI: 1023343662
Provider Name (Legal Business Name): MICHAEL STEVEN YOUNG MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2009
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 EAST PKWY STE 816
SACRAMENTO CA
95823-2501
US

IV. Provider business mailing address

7001 EAST PKWY STE 816
SACRAMENTO CA
95823-2501
US

V. Phone/Fax

Practice location:
  • Phone: 916-917-6438
  • Fax:
Mailing address:
  • Phone: 916-917-6438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW85754
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: