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NPI Code Detail

MEDICARE: DANICE YOUNG LCSW-C

MEDICARE: DANICE YOUNG LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker19947MD

General Provider Information

NPI Number : 1164178828
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANICE YOUNG LCSW-C
Provider Business Mailing Address
First Line : 5571 ELDERON AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21215-4247
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17826 NEW HAMPSHIRE AVE
Second Line :
City : ASHTON
State : MD
Zip : 20861-9781
Country : US
Telephone Number : 800-491-5369
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2022
Last Update Date : 02/22/2022

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Directions to “ DANICE YOUNG LCSW-C” Practice Location

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