MR. JACOB LYLE YOUNG (NPI# 1972706000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972706000 |
| Entity Type | Individual |
| Full Name | MR. JACOB LYLE YOUNG |
| Practice Address |
4455 Ne Highway 20 Corvallis OR 97330-9695 |
| Mailing Address |
531 Calapooia St Sw Albany OR 97321-2574 |
| Practice Telephone | 5417585975 |
| Mailing Telephone | 5412314330 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346327772 | Jacob David Young | Dentist | 8011 E 171st St, Belton, MO 64012-2261 | 2006-11-01 |
| 1265096259 | Jacob Young | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2019-04-25 |
| 1073038550 | Jacob Young | Physical Therapist | 545 N Mount Juliet Rd Ste 1101, Mount Juliet, TN 37122-3969 | 2017-08-07 |
| 1831622893 | Jacob Stewart Young | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, M774, San Francisco, CA 94143-2204 | 2017-04-06 |
| 1699152645 | Jacob Young | Physical Therapist | 600 Irving Ave, Saginaw, MI 48602-5375 | 2015-04-29 |
| 1891109096 | Jacob Young | Chiropractor | 401 S Gilbert St, Ste 101, Iowa City, IA 52240-4970 | 2014-06-16 |
| 1265877484 | Jacob Andrew Young | Urology | 7280 W Palmetto Park Rd Ste 305, Boca Raton, FL 33433-3427 | 2013-05-01 |
| 1043312648 | Jacob N Young | Neurological Surgery | 500 Martha Jefferson Dr Fl 4, Charlottesville, VA 22911-4668 | 2006-09-02 |
| Street Address |
4455 NE HIGHWAY 20 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-9695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790884690 | Timothy Joseph Catlow | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2006-09-21 |
| 1609477561 | Brock Van Dyke | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1518568476 | Julia Di Simone | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1336740299 | Sabrina Michelle Watkins | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1245831106 | Hope Trautman | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1932700028 | Hayley Boss | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-04 |
| 1477154714 | Ashley Merback | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1396346631 | Mikayla Alberta Calvery | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1750982096 | Christine Turner | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1831790179 | Madison Elysse Weekly | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861844813 | Joe Liddell | Social Worker | 408 Sw Monroe Ave Ste L101, Corvallis, OR 97333-7225 | 2016-07-01 |
| 1407145139 | Angela Joy Dahlke | Social Worker | 1638 Sw Reed Pl, Corvallis, OR 97333-1501 | 2011-04-04 |
| 1982863189 | Brian Matthew Lindenmuth | Social Worker | 216 Ne Plymouth Cir, Corvallis, OR 97330-4124 | 2008-06-03 |
| 1205003191 | Jenni Redner | Social Worker | 2608 Nw Chinaberry Pl, Corvallis, OR 97330-3310 | 2008-05-11 |
| 1548447550 | Aaron Stanek | Social Worker | 4455 Ne Highway, Corvallis, OR 97330 | 2008-01-22 |
| 1487842431 | Joseph Patrick Sanders | Social Worker | 329 Sw 6th St, Rm 1-b, Corvallis, OR 97333-4698 | 2007-10-03 |
| 1114117785 | April Renee Hawk | Social Worker | 4455 Ne Hightway 20, Children's Farm Home, Corvallis, OR 97330 | 2007-07-30 |
| 1982807798 | Sean Patrick Wood | Social Worker | 4455 N.e. Hwy 20, Corvallis, OR 97330 | 2007-06-08 |
| 1073716890 | Jason Brett Lewis | Social Worker | 1967 Nw Hayes Ave, Corvallis, OR 97330-2540 | 2007-06-08 |
| 1497958078 | Holly Elise Pomme | Social Worker | 260 Sw Madison Ave, Suite 119, Corvallis, OR 97333-4798 | 2007-06-08 |
| Find all providers in CORVALLIS | ||||
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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.