MEDICARE: ALICIA M YOUNG

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	SW26471	FL

General Provider Information

NPI Number	:	1952929663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA M YOUNG

Provider Business Mailing Address
First Line	:	1317 EDGEWATER DR # 1992
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6350
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 EDGEWATER DR # 1992
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6350
Country	:	US
Telephone Number	:	813-658-8329
Fax Number	:

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

Provider Enumeration Date	:	07/09/2020
Last Update Date	:	05/26/2026

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Directions to “ ALICIA M YOUNG ” Practice Location

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