Provider Demographics
NPI:1508918350
Name:YOUNG, MICHELLE LYNN (LCSW-C, LCSW)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:LYNN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LCSW-C, LCSW
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:L
Other - Last Name:BERNHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:11 CARLISLE ST UNIT 308
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2472
Mailing Address - Country:US
Mailing Address - Phone:717-356-0773
Mailing Address - Fax:
Practice Address - Street 1:11 CARLISLE ST UNIT 308
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2472
Practice Address - Country:US
Practice Address - Phone:717-356-0773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0245291041C0700X
MD125921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical