NPI Details
Gina Young, LICSW is a community behavioral health in Minneapolis, MN with 15 years of experience. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. Gina Young, LICSW NPI is 1245679653. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2430 NICOLLET AVE SOUTH
WASHBURN CENTER FOR CHILDREN
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 871-1454
Fax: (612) 871-1505
The NPI 1245679653 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Psychiatric diagnostic evaluation (HCPCS:90791)
The enumeration date for this NPI number is 6/19/2013 and was last updated on 12/17/2014.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 251S00000X | Community/Behavioral Health | | 20511 | MINNESOTA | Yes |
