Provider Demographics
NPI:1891133591
Name:YOUNG, YVETTE L (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:L
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 1:7800 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4807
Mailing Address - Country:US
Mailing Address - Phone:240-389-3558
Mailing Address - Fax:866-576-0581
Practice Address - Street 1:7800 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-4807
Practice Address - Country:US
Practice Address - Phone:240-418-7686
Practice Address - Fax:866-576-0581
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3035761041C0700X
MD101041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical