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KURT YOUNGBERG LCSW
NPI 1023360104
Social Worker - Clinical in Marietta, GA

Active since October 12, 2012
109 ANDERSON ST SE STE 101, MARIETTA, GA 30060(714) 482-5472 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 20, 2017 (3 updates tracked since 2017).

About Kurt Youngberg Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KURT YOUNGBERG LCSW (NPI 1023360104) is an individual clinical provider in Marietta, Georgia, licensed in Georgia (CSW006152) and active in the NPI registry since October 2012. He maintains a secondary practice location in Draper.

NPPES Registry Identity

NPI1023360104
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKURT YOUNGBERGCredential: LCSW
Location Address109 ANDERSON ST SE STE 101Marietta, GA 30060-8610
Mailing Address377 Silverthorn Dr NwMarietta, GA 30064-1062 · (714) 482-5472
Phone(714) 482-5472
Sole ProprietorYes
Enumeration DateOctober 12, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1023360104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in GA · CSW006152✔ Licensed in UT · 8375190-3502
Definition
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.
109 ANDERSON ST SE STE 101, Marietta, GA 30060
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Secondary Practice Location 1

Location 1248 E 13800 S, #4Draper, UT 84020-5010 · Phone (801) 816-1801 · Fax (801) 501-0249

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE RENDER M.S.
Counselor (Mental Health)
109 ANDERSON ST SE STE 101
MARIETTA, GA 30060
Cobb County (706) 406-3404
HEATHER HUNNICUTT
Counselor (Professional)
109 ANDERSON ST SE STE 101
MARIETTA, GA 30060
Cobb County (770) 835-5863
RAMON PALACIOS JR. CAC LEVEL I
Counselor (Addiction (Substance Use Disorder))
109 ANDERSON ST SE STE 101
MARIETTA, GA 30060
Cobb County (470) 377-6650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kurt Youngberg's NPI number?

The NPI number for Kurt Youngberg is 1023360104. It was assigned to this individual provider in the NPPES registry on October 12, 2012.

Where is Kurt Youngberg located?

Kurt Youngberg practices at 109 Anderson St SE Ste 101, Marietta, GA 30060. The listed phone number is (714) 482-5472.

What is Kurt Youngberg's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kurt Youngberg was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.