Provider Demographics
NPI:1235393919
Name:YOUNG, MERINDA LYNN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MERINDA
Middle Name:LYNN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MERINDA
Other - Middle Name:LYNN
Other - Last Name:CREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:640 CREWS HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:TN
Mailing Address - Zip Code:37185-3214
Mailing Address - Country:US
Mailing Address - Phone:931-296-3069
Mailing Address - Fax:
Practice Address - Street 1:640 CREWS HOLLOW LN
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:TN
Practice Address - Zip Code:37185-3214
Practice Address - Country:US
Practice Address - Phone:931-296-3069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN60241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical