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Elizabeth D. Young

Social Worker

Behavioral Health & Social Service Providers

228 Montrose Ave, Lafayette, LA 70503-3822

PECOS Enrollment

This provider is enrolled in PECOS as ELIZABETH YOUNG.

Based on the most recent information from CMS, provider Elizabeth D. Young is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1093870396
Provider Type
Individual
Full Name
Young, Elizabeth D.
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/27/2006
Last Updated
7/8/2007

Contact Information

Practice Location

228 Montrose Ave, Lafayette, LA 70503-3822

(337) 981-9601

(337) 993-3481

Mailing Location

228 Montrose Ave, Lafayette, LA 70503-3822

(337) 981-9601

(337) 993-3481

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 976 Louisiana

Elizabeth D. Young

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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