MEDICARE: CIGI YOUNG LCSW

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
1	1041C0700X	Clinical Social Worker	259598	KY
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	278592	KY

General Provider Information

NPI Number	:	1245810779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CIGI YOUNG LCSW

Provider Business Mailing Address
First Line	:	3553 HENRYS WAY
Second Line	:
City	:	HENDERSON
State	:	KY
Zip	:	42420-9226
Country	:	US
Telephone Number	:	270-748-0999
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 ZION RD FL 1
Second Line	:
City	:	HENDERSON
State	:	KY
Zip	:	42420-4716
Country	:	US
Telephone Number	:	270-831-8570
Fax Number	:	270-831-8571

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2021
Last Update Date	:	04/06/2026

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Directions to “ CIGI YOUNG LCSW” Practice Location

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