Active NPI
Taylor Korynta, LICSW
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1003725714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29090
- Practice address
- 2550 University Ave W Ste 229N
Saint Paul, MN 55114-1902 - Phone
- (651) 645-3115
- NPI assigned
- Sep 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29090 | MN | Primary |
Addresses
Primary practice location
2550 University Ave W Ste 229N
Saint Paul, MN 55114-1902
Mailing address
1862 Ivan Way
Saint Paul, MN 55116-3222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1003725714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1862 IVAN WAY",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551163222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 UNIVERSITY AVE W STE 229N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141902",
"telephone_number": "651-645-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORYNTA",
"first_name": "TAYLOR",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "29090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.