Youth Form, LLC
NPI 1699528059 · Clinical Social Worker · Tallahassee, FL
Youth Form, LLC is a Clinical Social Worker organization in Tallahassee, FL (NPI 1699528059).
Provider details
- NPI number
- 1699528059
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kortney Clinton, Founder/Clinican(850) 296-2493
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-08
- Last updated
- 2024-04-08
- Certified
- 2024-04-07
Frequently asked questions
- What is Youth Form, LLC's NPI number?
- Youth Form, LLC's National Provider Identifier (NPI) is 1699528059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Youth Form, LLC?
- Youth Form, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Youth Form, LLC located?
- Youth Form, LLC's practice location on file with NPPES is 1018 Thomasville Rd, Tallahassee, FL 32303-8701.
- What is Youth Form, LLC's phone number?
- The practice phone number listed in the NPPES registry for Youth Form, LLC is (850) 296-2493.
- Who is the authorized official for Youth Form, LLC?
- The authorized official listed on Youth Form, LLC's NPPES record is Kortney Clinton, Founder/Clinican. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Youth Form, LLC's NPI active?
- Yes — Youth Form, LLC's NPI (1699528059) is active in the NPPES registry as of the last update on 2024-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.