Shawna Jackson Young, LCDC III, LISW is a
Social Worker - Clinical based in Beachwood, Ohio. Shawna Jackson Young is licensed to practice in Ohio (license number I.1801043) and her current practice location is
24100 Chagrin Blvd Ste 330, Beachwood, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 990-8773.
NPI number for Shawna Jackson Young is 1710336896 and her current mailing address is 13605 Caine Ave, Cleveland, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710336896.
Healthcare Provider's Profile
| Full Name | Shawna Jackson Young |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 24100 Chagrin Blvd Ste 330, Beachwood, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710336896
- Provider Enumeration Date: 06/08/2016
- Last Update Date: 06/23/2018
Medical Identifiers
Medical identifiers for Shawna Jackson Young such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710336896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII.161563 (Ohio) | Secondary |
| 104100000X | Social Worker | S.1600353 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1801043 (Ohio) | 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. Shawna Jackson 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 |
|---|
Shawna Jackson Young, LCDC III, LISW
13605 Caine Ave,
Cleveland, OH 44105-6335
Ph: (216) 990-8773 | Shawna Jackson Young, LCDC III, LISW
24100 Chagrin Blvd Ste 330,
Beachwood, OH 44122
Ph: (216) 990-8773 |
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