Provider Demographics
NPI:1588740021
Name:YOUNG, MARIA CRISTINA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CRISTINA
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4008 BARRETT DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6621
Mailing Address - Country:US
Mailing Address - Phone:919-571-2660
Mailing Address - Fax:
Practice Address - Street 1:4008 BARRETT DR
Practice Address - Street 2:SUITE 106
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6621
Practice Address - Country:US
Practice Address - Phone:919-571-2660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0048181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003726Medicaid
NC140MUOtherBLUE CROSS BLUE SHIELD