Provider Demographics
NPI:1598917924
Name:YOUNG, KATHERINE BARNETT (MSW, CSW)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:BARNETT
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 STAPLETON WAY
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-2674
Mailing Address - Country:US
Mailing Address - Phone:859-797-5354
Mailing Address - Fax:
Practice Address - Street 1:343 WALLER AVE STE 201
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2918
Practice Address - Country:US
Practice Address - Phone:859-271-9448
Practice Address - Fax:859-272-6893
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6193104100000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker