MR. MARK R YOUNG (NPI# 1114002631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114002631 |
| Entity Type | Individual |
| Full Name | MR. MARK R YOUNG |
| Credential | MSSW, LMSW, LCSW |
| Practice Address |
427 S. Stephenson Ave., 2nd Floor Iron Mountain MI 49801 |
| Mailing Address |
Po Box 1012 Iron Mountain MI 49801-8012 |
| Practice Telephone | 9067764357 |
| Mailing Telephone | 9067764357 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
466-123 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801059457 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS/BLUE SHIELD | 800891684 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184260366 | Mark Allan Young | Clinic/Center | 208 W Chandler Heights Rd Ste 102, Chandler, AZ 85248-5065 | 2019-11-21 |
| 1134433907 | Mark Alan Young | Counselor | 496 Longfellow Ave, Kirkwood, MO 63122-3829 | 2010-08-03 |
| 1023331071 | Mark A Young | Counselor | 24215 Cataldo Ct, Liberty Lake, WA 99019-7605 | 2010-03-04 |
| 1295964294 | Mark Allen Young | Chiropractor | 12813 Whitewood Dr, Burnsville, MN 55337-3584 | 2009-07-11 |
| 1689796856 | Mark J Young | Dentist | 1665 Creekside Dr Ste 103, Folsom, CA 95630-3538 | 2007-04-06 |
| 1275662645 | Mark Young | Counselor | 650 Cr 4650, Mt. Pleasant, TX 75455 | 2007-03-03 |
| 1376690370 | Mark Alan Young | Physical Therapist | 929 Pacific St, Monterey, CA 93940-4447 | 2007-01-04 |
| 1538270368 | Mark C Young | Dentist | 314 So 12th Ave, Suite #3, Yakima, WA 98902-3149 | 2006-08-31 |
| 1629185954 | Mark C Young | Dentist | 240 Hydraulic Ridge Rd Ste 101, Charlottesville, VA 22901-8130 | 2006-08-24 |
| 1477561900 | Mark R Young | Anesthesiology | 401 23rd St Ste 207, Glenwood Springs, CO 81601-4382 | 2006-08-03 |
| Street Address |
427 S. STEPHENSON AVE., 2ND FLOOR |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669085114 | Kristin Marie Olsen | Social Worker | 427 S Stephenson Ave Ste 2, Iron Mountain, MI 49801-3458 | 2020-08-25 |
| 1497375380 | Discovery Counseling Services, LLC | Social Worker | 333 S Stephenson Ave # 203, Iron Mountain, MI 49801-2942 | 2020-04-21 |
| 1326520024 | Travis Benson Leland | Social Worker | 325 E H St # 116b, Iron Mountain, MI 49801-4760 | 2018-08-30 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1528319852 | Elyse D'amico | Social Worker | 427 S Stephenson Ave Ste 210, Iron Mountain, MI 49801-3458 | 2012-09-26 |
| 1659668556 | Robert Ronald Roberge | Social Worker | N3039 Quinnesec Lake Antoine Rd, Iron Mountain, MI 49801-9638 | 2011-06-30 |
| 1932395019 | Joel Case Howe | Social Worker | 325 East H St, Iron Mountain Va Medical Center (05), Iron Mountain, MI 49801 | 2007-09-21 |
| 1538382403 | Elizabeth Ann Hellman | Social Worker | 1203 W D St, Iron Mountain, MI 49801-3203 | 2007-04-10 |
| 1952410847 | Cory J Vedin | Social Worker | 333 S Stephenson Ave, Iron Mountain, MI 49801-2942 | 2006-08-30 |
| 1205818713 | Curtis D. Pitts | Social Worker | 1210 S Kimberly Ave, Iron Mountain, MI 49801-4619 | 2005-11-18 |
| Find all providers in IRON MOUNTAIN | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
Please comment or provide details below to improve the information on MR. MARK R YOUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.