Provider Demographics
NPI:1447704879
Name:YOUNG, SARA (LCSW)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:WETSTONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3016 FRANCIS ST
Mailing Address - Street 2:APT 301
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-2158
Mailing Address - Country:US
Mailing Address - Phone:443-745-6808
Mailing Address - Fax:
Practice Address - Street 1:1524 NE 96TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-1366
Practice Address - Country:US
Practice Address - Phone:816-368-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040092591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical