Provider Demographics
NPI:1881228971
Name:YOUNG, BARBARA ANN (MSW, LCSW, LCADC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MSW, LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 FORD AVENUE
Mailing Address - Street 2:
Mailing Address - City:MILLLTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08850-1532
Mailing Address - Country:US
Mailing Address - Phone:732-777-1940
Mailing Address - Fax:732-777-1889
Practice Address - Street 1:32 FORD AVENUE
Practice Address - Street 2:
Practice Address - City:MILLLTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08850-1532
Practice Address - Country:US
Practice Address - Phone:732-777-1940
Practice Address - Fax:732-777-1889
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ445C051711001041C0700X
NJ37LC000658001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical