Mr Roger Lee Young, MS,LCSW,LPC,CSAC is a
Social Worker - Clinical based in Madison, Wisconsin. Mr Roger Lee Young is licensed to practice in Wisconsin (license number 1300-123) and his current practice location is
4105 Sunnyside Cres, Madison, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 244-8802.
NPI number for Mr Roger Lee Young is 1518167881 and his current mailing address is 4105 Sunnyside Cres, Madison, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518167881.
Healthcare Provider's Profile
| Full Name | Mr Roger Lee Young |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4105 Sunnyside Cres, Madison, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518167881
- Provider Enumeration Date: 07/24/2007
- Last Update Date: 07/24/2007
Medical Identifiers
Medical identifiers for Mr Roger Lee Young such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518167881 | NPI | - | NPPES |
| 41001200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 451-132 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 540-125 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1300-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roger Lee Young is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Roger Lee Young, MS,LCSW,LPC,CSAC
4105 Sunnyside Cres,
Madison, WI 53704-3536
Ph: (608) 244-8802 | Mr Roger Lee Young, MS,LCSW,LPC,CSAC
4105 Sunnyside Cres,
Madison, WI 53704-3536
Ph: (608) 244-8802 |
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