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SHAHTAVIA YOUNG LSW
NPI 1992420525
Social Worker - Clinical in Chicago, IL

Active since October 06, 2022PECOS EnrolledAccepts Medicare Assignment
405 W SUPERIOR ST STE 427, CHICAGO, IL 60654(773) 897-3197 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 2025, May 23, 2025, Oct 6, 2022 (3 updates tracked since 2022).

About Shahtavia Young Lsw NPPES

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

SHAHTAVIA YOUNG LSW (NPI 1992420525) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.028587) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992420525
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHAHTAVIA YOUNGCredential: LSW
Location Address405 W SUPERIOR ST STE 427Chicago, IL 60654-8501
Mailing Address405 W Superior St Ste 427Chicago, IL 60654-8501 · (773) 897-3197
Phone(773) 897-3197
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 6, 2022
Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1992420525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.028587
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 150.106617 (IL)
405 W SUPERIOR ST STE 427, Chicago, IL 60654
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Other Names 1

Other Name (5)Shah'tavia Young Lsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shahtavia Young Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901315472
PECOS Enrollment IDI20250605000178
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MANAGING WITH MINDFULNESS, PLLC
Counselor (Mental Health)
405 W SUPERIOR ST STE 427
CHICAGO, IL 60654
Cook County (317) 727-8369

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 Shahtavia Young's NPI number?

The NPI number for Shahtavia Young is 1992420525. It was assigned to this individual provider in the NPPES registry on October 6, 2022. The provider is also known as Shah'tavia Young Lsw.

Where is Shahtavia Young located?

Shahtavia Young practices at 405 W Superior St Ste 427, Chicago, IL 60654. The listed phone number is (773) 897-3197.

What is Shahtavia Young's specialty?

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

Is Shahtavia Young enrolled in Medicare?

Yes. Shahtavia Young is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shahtavia Young accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Providence Health Plan list Shahtavia Young as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shahtavia Young was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.