Provider Demographics
NPI:1063635894
Name:YOUNG, LINDA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4604 EMBASSY CIR APT 103
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6310
Mailing Address - Country:US
Mailing Address - Phone:617-817-0372
Mailing Address - Fax:
Practice Address - Street 1:2300 GARRISON BLVD STE 150
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-2316
Practice Address - Country:US
Practice Address - Phone:410-233-3111
Practice Address - Fax:410-233-3222
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD195841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical