NICOLE L YOUNG (LCSW) – Clinical Social Worker, NPI 1619136645

NICOLE L YOUNG (LCSW) is a healthcare provider. based in Bowling green, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 3456 (KY). The NPI Number for NICOLE L YOUNG (LCSW) is 1619136645

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE L YOUNG (LCSW)
NPI
1619136645
Phone
(270) 782-1116
Address
1215 HIGH ST
Enumeration Date
5 June 2008
Last Update Date
13 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2514800070
Graduation Year
2007 (19 years ago)
PAC ID
1153506068
Group Practice PAC ID
6800252628
Professional Enrollment ID
I20260131000303
Address ID
AL366095406MO960XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

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Provider Addresses for NICOLE L YOUNG (LCSW)

  • 1215, High Street, Bowling Green, Warren County, Kentucky, 42101, United States

    BOWLING GREEN, KY 421012541

    Phone: (270) 782-1116

    Fax: (270) 782-9108

    Type: Mailing

  • 1215 High St

    Bowling Green, KY 421012541

    Phone: (270) 782-1116

    Fax: (270) 782-9108

    Type: Location

  • 1440 CAMPBELL LN STE 600

    BOWLING GREEN, KY 421043390

    Phone: (270) 715-1178

    Fax: (270) 715-1189

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260131000303IClinical Social WorkerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800252628View full group profile
NameSpecialtyState
Clinical Social WorkerAL
Mental Health CounselorGA
P S Y C H I A T R YMI
Clinical Social WorkerAL
Clinical Social WorkerAL
Clinical Social WorkerFL
Mental Health CounselorMS
P S Y C H I A T R YAL
Clinical Social WorkerAL
Mental Health CounselorAL

Reviews

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Frequently asked questions

How is NICOLE L YOUNG (LCSW) identified in CMS data?
CMS-hosted NPPES data lists NICOLE L YOUNG (LCSW) with NPI 1619136645.
Does CMS list NICOLE L YOUNG (LCSW) as active?
Yes — NICOLE L YOUNG (LCSW) is active in the NPI listing used on this page.
What healthcare role does NICOLE L YOUNG (LCSW) hold?
Scheduling teams often label NICOLE L YOUNG (LCSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does NICOLE L YOUNG (LCSW) list a practice location?
Patients near Bowling Green, Kentucky may find NICOLE L YOUNG (LCSW) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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