Healthcare Provider Details

I. General information

NPI: 1285573139
Provider Name (Legal Business Name): KALIA LERRYN YOUNG LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

682 FRONT ST APT E
HEMPSTEAD NY
11550-4507
US

IV. Provider business mailing address

682 FRONT ST APT E
HEMPSTEAD NY
11550-4507
US

V. Phone/Fax

Practice location:
  • Phone: 516-538-7244
  • Fax:
Mailing address:
  • Phone: 516-538-7244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: