Individual provider Active NPI

Taylor A Barrera, LCSW

  • Clinical Social Worker
  • Nampa, ID
National Provider Identifier
1023572740
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-42938 Issued in ID
Practice address
123 N Yale St
Nampa, ID 83651-2340
Phone
(208) 585-3375
NPI assigned
Jan 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LMSW-37704 ID
Clinical Social Worker 1041C0700X LCSW-42938 ID Primary

Addresses

Primary practice location

123 N Yale St
Nampa, ID 83651-2340

Mailing address

923 Grant St
Caldwell, ID 83605-4137
Phone (208) 371-6908

Other practice location 1

923 Grant St
Caldwell, ID 83605-4137
Phone (208) 371-6908

Other names 1

  • Mrs. Taylor Anne Barrera Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230127002141 ID Practitioner - Clinical Social Worker 5092186171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mana Resources LLCGroup PAC ID 1759793490, 2 clinicians

Practice addresses (Care Compare)

923 Grant St
Caldwell, ID 83605-4137
Phone 20858533751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-42938IDMDClinical Social Worker
LMSW-37704IDMDMental Health Clinic/Center (Including Community Mental Health Center)

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Resources LLC CurrentSince Jan 4, 2023 Accepting new patients

Locations

923 Grant St
Caldwell, ID 83605
Phone (208) 454-9000

123 N Yale St
Nampa, ID 83651
Phone (208) 465-5433

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1023572740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 GRANT ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054137",
            "telephone_number": "208-371-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N YALE ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836512340",
            "telephone_number": "208-585-3375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 Grant St",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836054137",
            "country_code": "US",
            "telephone_number": "208-371-6908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "TAYLOR",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ID",
            "license": "LMSW-37704",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-42938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "BARRERA",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.