MR. THEODORE YOUNG JR. (NPI# 1871862193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871862193 |
Entity Type | Individual |
Full Name | MR. THEODORE YOUNG JR. |
Credential | LMSW, C-ASWCM, MPA |
Practice Address |
6098 Debra Rd Suite 5200 Chattanooga TN 37411-5702 |
Mailing Address |
944 Wyndsor Dr Hixson TN 37343-2210 |
Practice Telephone | 4238936500 |
Mailing Telephone | 4237101362 |
Enumeration Date | 2011-12-15 |
Last Update Date | 2011-12-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
7949 | TN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336511294 | Theodore Young IIi | Occupational Therapy Assistant | 1099 W Town Pkwy, Altamonte Springs, FL 32714-3845 | 2015-10-30 |
Street Address |
6098 DEBRA RD SUITE 5200 |
City | CHATTANOOGA |
State | TN |
Zip Code | 37411-5702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508856139 | Donald Edwin Robinson | Internal Medicine | 6098 Debra Rd, 6200 Bldg, Suite 5200, Chattanooga, TN 37411-5702 | 2005-10-25 |
1225693971 | Lauren Walsh | Physical Therapy Assistant | 6098 Debra Rd, Chattanooga, TN 37411-5702 | 2019-05-08 |
1043751316 | Adrienne Hines-bond | Social Worker | 6098 Debra Rd, Chattanooga, TN 37411-5702 | 2017-03-20 |
1598219933 | Vanessa Campbell | Social Worker | 6098 Debra Rd, Chattanooga, TN 37411-5702 | 2016-08-14 |
1427481795 | Erin Marie Latendresse | Pharmacist | 6098 Debra Rd, Chattanooga, TN 37411-5702 | 2013-08-09 |
1851651822 | William R Jennings | Physical Therapist | 6098 Debra Rd, Chattanooga, TN 37411-5702 | 2012-05-23 |
1407188626 | Ahmed A Ibrahim | Psychiatry & Neurology | 6098 Debra Rd, Va Outpatient Clinic, Chattanooga, TN 37411 | 2010-02-12 |
1396984316 | Stephanie Ladue | Dental Hygienist | 6098 Debra Rd, Chattanooga, TN 37411-5702 | 2009-02-14 |
1437351970 | James Daniel Wadzinski | Family Medicine | 6098 Debra Rd, 6200 Bldg, Suite 5200, Chattanooga, TN 37411-5702 | 2007-06-05 |
1629286992 | Elizabeth Ratledge | Social Worker | 6098 Debra Rd, Chattanooga, TN 37411-5702 | 2007-05-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
1568986693 | Solution Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 4707 North Terrace, Chattanooga, TN 37411 | 2017-07-31 |
1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
1669896254 | Audra Valentaviciene | Nurse Practitioner | 5618 Brainerd Road, Chattanooga, TN 37411 | 2014-02-18 |
1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
1417210071 | Jason Owen Blair | Physical Therapy Assistant | 5779 Brainard Rd, Chattanooga, TN 37411 | 2012-06-19 |
1447532270 | Masons and Daughter LLC | Non-emergency Medical Transport (VAN) | 7 North Tuxedo Ave, Chattanooga, TN 37411 | 2011-09-19 |
1841500386 | Pamela Denise Stultz | Physical Therapy Assistant | 3207 Rosemont Drive, Chattanooga, TN 37411 | 2010-10-18 |
1689803843 | Pauline Evans | Occupational Therapy Assistant | 1557 Pin Oak Dr, Chattanooga, TN 37411 | 2009-07-09 |
Find all providers in zip 37411 |
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 |
---|---|---|---|---|
1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
1699247700 | Einre Anne Imperio Lopez Friedrich | Social Worker | 957 Boynton Dr, Chattanooga, TN 37402-2118 | 2018-12-31 |
1437620697 | Erricka O Hill | Social Worker | 358 Glenwood Dr, Chattanooga, TN 37404-1725 | 2018-12-16 |
1770059768 | Holly Wade Lcsw LLC | Social Worker | 2201 Dayton Blvd, Chattanooga, TN 37415-6415 | 2018-10-17 |
1982110490 | Margaret Chase Durham | Social Worker | 8105 Gatehouse Xing, Chattanooga, TN 37421-3273 | 2017-12-19 |
1619414166 | Jacquelyn Ann Casey | Social Worker | 201 Frazier Avenue, Suite E, Chattanooga, TN 37405 | 2017-01-23 |
1467994970 | Latoya Mcleod | Social Worker | 4704 Kenwood Ave, Chattanooga, TN 37411-3805 | 2016-11-15 |
1902274129 | Frank Adam Kilgore | Social Worker | 3000 3rd Ave Ste 300, Chattanooga, TN 37407-1422 | 2015-09-03 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37411 |
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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.