Healthcare Provider Details

I. General information

NPI: 1871949636
Provider Name (Legal Business Name): DANIELLE LINETTE YOUNG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 N SPENCE AVE
GOLDSBORO NC
27534-4233
US

IV. Provider business mailing address

660 N SPENCE AVE
GOLDSBORO NC
27534-4233
US

V. Phone/Fax

Practice location:
  • Phone: 252-643-3544
  • Fax:
Mailing address:
  • Phone: 252-643-3544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC009734
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: