Provider Demographics
NPI:1740966670
Name:YOUNG, ANNA CATHERINE (APSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CATHERINE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 RAYOVAC DR #103
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-2468
Mailing Address - Country:US
Mailing Address - Phone:608-238-5826
Mailing Address - Fax:
Practice Address - Street 1:700 RAYOVAC DR #103
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-2468
Practice Address - Country:US
Practice Address - Phone:608-238-5826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
134307-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical