Charissa Young, LCSW is a
Social Worker - Clinical based in Poplar Bluff, Missouri. Charissa Young is licensed to practice in Missouri (license number 2018019792) and her current practice location is
3001 Warrior Ln, Poplar Bluff, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 686-1200.
NPI number for Charissa Young is 1033522412 and her current mailing address is 3001 Warrior Ln, Poplar Bluff, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033522412.
Healthcare Provider's Profile
| Full Name | Charissa Young |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3001 Warrior Ln, Poplar Bluff, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033522412
- Provider Enumeration Date: 06/03/2014
- Last Update Date: 06/16/2018
Medical Identifiers
Medical identifiers for Charissa Young such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033522412 | NPI | - | NPPES |
| 1033522412 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2018019792 (Missouri) | 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. Charissa 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 |
Charissa Young, LCSW 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 Ph: (573) 686-1200 | Charissa Young, LCSW 3001 Warrior Ln, Poplar Bluff, MO 63901 Ph: (573) 686-1200 |
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