NPI 1023360104

Kurt Youngberg, LCSW

Practitioner Clinical Social Worker Marietta, GA

Practice location

Address: 109 Anderson St SE STE 101, Marietta, GA 30060-8610
Phone: (714) 482-5472
Mailing address: 377 Silverthorn Dr NW, Marietta, GA 30064-1062

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSW006152 (GA)

Other Social Worker providers in Georgia →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 8375190-3502 (UT)

Registry record

NPI: 1023360104
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2012
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.