Sarah L Young, | |
601 Lincoln Park Rd, Springfield, KY 40069-1501 | |
(844) 435-0900 | |
(270) 858-4029 |
Full Name | Sarah L Young |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 601 Lincoln Park Rd, Springfield, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760914139 | NPI | - | NPPES |
7100458610 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Kentucky) | Secondary |
1041C0700X | Social Worker - Clinical | 252563 (Kentucky) | Primary |
Entity Name | Cumberland Family Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
Entity Name | Astra Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922427517 PECOS PAC ID: 0749406577 Enrollment ID: O20140730002637 |
Mailing Address | Practice Location Address |
---|---|
Sarah L Young, Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 864-1472 | Sarah L Young, 601 Lincoln Park Rd, Springfield, KY 40069-1501 Ph: (844) 435-0900 |
Kelly E Fenwick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 Lincoln Park Rd, Springfield, KY 40069 Phone: 844-435-0900 Fax: 270-858-4029 | |
Mrs. Allison Brooke Ballard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2373 Lincoln Park Rd, Springfield, KY 40069 Phone: 859-481-8223 Fax: 859-336-0291 |