Provider Demographics
NPI:1811615289
Name:YOUNG, MARGARET ANN (LMSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3635 JOHNSON AVE APT 4B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1675
Mailing Address - Country:US
Mailing Address - Phone:646-662-0649
Mailing Address - Fax:
Practice Address - Street 1:8712 175TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5776
Practice Address - Country:US
Practice Address - Phone:718-745-4288
Practice Address - Fax:718-206-9300
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074819104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker