Dr. Edmund W. Young, EdD, LCSW, MSG, BCD
Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1497836670
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1497836670
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edmund W. Young
- Credential
- EdD, LCSW, MSG, BCD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2006
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW21755 | CA | Yes |
Practice location
11301 Wilshire Blvd.Building 257 Rm. 212
Los Angeles, CA 90073
Phone 310-478-3711
Mailing address
1600 Griffith Park Blvd#303
Los Angeles, CA 90026-1063
Phone 323-270-7702 · Fax 323-666-0400
Other practice locations
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