Healthcare Provider Details

I. General information

NPI: 1336066463
Provider Name (Legal Business Name): AYONA YOUNG LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2227 OLD EMMORTON RD STE 115
BEL AIR MD
21015-6190
US

IV. Provider business mailing address

4005 MARJEFF PL APT D
BALTIMORE MD
21236-4507
US

V. Phone/Fax

Practice location:
  • Phone: 410-589-0999
  • Fax:
Mailing address:
  • Phone: 562-668-8812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number35041
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: