MR. PETER T YOUNG (LCSW) – Social Worker, NPI 1417036864

MR. PETER T YOUNG (LCSW) is a healthcare provider. based in Somerville, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 114162 (MA). The NPI Number for MR. PETER T YOUNG (LCSW) is 1417036864

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. PETER T YOUNG (LCSW)
NPI
1417036864
Phone
(617) 284-7000
Address
300 BROADWAY
Enumeration Date
6 November 2006
Last Update Date
27 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176651000
Graduation Year
2005 (21 years ago)
PAC ID
9436210135
Group Practice PAC ID
8921910894
Professional Enrollment ID
I20081212000083
Address ID
MA021391047CA1493XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MR. PETER T YOUNG (LCSW)

  • 300;308, Broadway, East Somerville, Somerville, Middlesex County, Massachusetts, 02145, United States

    SOMERVILLE, MA 021452935

    Phone: (617) 284-7000

    Type: Mailing

  • Burlington, 572, Great Mall Drive, Great Mall, Milpitas, Santa Clara County, California, 95035-8004, United States

    BURLINGTON, MA 018050001

    Phone: (781) 744-8610

    Fax: (781) 744-5235

    Type: Location

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: 2008-12-12

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
I20081212000083IClinical Social WorkerMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes43131$0
View full utilization report →

Insurance plans in this area (ZIP 02145)

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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: 8921910894View full group profile
NameSpecialtyState
Family PracticeMA
-MA
-NH
Rheumatology, Internal MedicineMA
-MA
Emergency MedicineMA
Family PracticeMA
O B S T E T R I C S/ G Y N E C O L O G YPA
Emergency MedicineMA
Physician AssistantMA

Reviews

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Frequently asked questions

How is MR. PETER T YOUNG (LCSW) identified in CMS data?
CMS-hosted NPPES data lists MR. PETER T YOUNG (LCSW) with NPI 1417036864.
Can I rely on MR. PETER T YOUNG (LCSW) being an active provider?
As of the registry snapshot, MR. PETER T YOUNG (LCSW) is marked active.
What is MR. PETER T YOUNG (LCSW)'s primary classification?
Social Worker is the headline specialty for MR. PETER T YOUNG (LCSW) here. Clinical services aligned with this taxonomy classification.
Where is MR. PETER T YOUNG (LCSW) based?
MR. PETER T YOUNG (LCSW) is tied to Somerville, Massachusetts in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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