Provider Demographics
NPI:1609632116
Name:YOUNG, ALUMITA NAKAUTOGA (LCSW)
Entity Type:Individual
Prefix:
First Name:ALUMITA
Middle Name:NAKAUTOGA
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALUMITA
Other - Middle Name:NAREBA
Other - Last Name:NAKAUTOGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18330 HIGHWAY 108
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:CA
Mailing Address - Zip Code:95327-9615
Mailing Address - Country:US
Mailing Address - Phone:209-396-5508
Mailing Address - Fax:209-532-3095
Practice Address - Street 1:18330 HIGHWAY 108
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:CA
Practice Address - Zip Code:95327-9615
Practice Address - Country:US
Practice Address - Phone:209-396-5508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-22
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1209111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical