| Jessica Patricia Young, LICSW | |
|
300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | |
| (334) 953-5200 | |
| (334) 953-8607 |
| Full Name | Jessica Patricia Young |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 300 Twining St Bldg 760, Maxwell Afb, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154744365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4743C (Alabama) | Primary |
| Entity Name | West Alabama Aids Outreach Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619731361 PECOS PAC ID: 7517212376 Enrollment ID: O20240506003350 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Patricia Young, LICSW 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 Ph: (334) 953-5200 | Jessica Patricia Young, LICSW 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 Ph: (334) 953-5200 |
Elisha Nicole Parkhill, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 024-519-93378 | |
Teri Uhler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-3368 | |
James L. Merriken, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 South Twining St., Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-5200 Fax: 334-953-8607 | |
Aillen Ford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-3368 Fax: 334-953-8607 | |
Sherese Ingram, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Twining St Bldg Maxwell, Maxwell Afb, AL 36112 Phone: 334-953-5200 Fax: 334-953-8607 | |
Jordan Walsh, CSW-PIP, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-5200 Fax: 334-953-8607 |