JAKE REBECCA YOUNG LICSW
NPI 1679057319
Social Worker - Clinical in Worcester, MA

Active since September 19, 2018
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-2731(774) 442-4672 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2019, Sep 19, 2018 (2 updates tracked since 2018).

About Jake Rebecca Young Licsw NPPES

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

JAKE REBECCA YOUNG LICSW (NPI 1679057319) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (121177) and active in the NPI registry since September 2018. She maintains a secondary practice location in Norwood.

NPPES Registry Identity

NPI1679057319
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJAKE REBECCA YOUNGCredential: LICSW
Location Address55 LAKE AVE NWorcester, MA 01655
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885
Fax(774) 442-4672
Sole ProprietorNo
Enumeration DateSeptember 19, 2018
Last NPPES UpdateNovember 15, 20192 updates tracked since enumeration
NPI 1679057319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 121177
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.
55 LAKE AVE N, Worcester, MA 01655

Secondary Practice Location 1

Location 11 Edgewater Dr Ste 103Norwood, MA 02062-4669 · Phone (617) 281-1212

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Jake Young's NPI number?

The NPI number for Jake Young is 1679057319. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Where is Jake Young located?

Jake Young practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-2731.

What is Jake Young'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 Jake Young was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.