Individual provider Active NPI

Taylor Wegmann, MSW, LCSW

  • Clinical Social Worker
  • Marlton, NJ
National Provider Identifier
1033603568
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05790900 Issued in NJ
Practice address
39 E Main St Ste 203
Marlton, NJ 08053-2154
Phone
(856) 409-0610
NPI assigned
Jun 18, 2018
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW021815 PA
Clinical Social Worker 1041C0700X 44SC05790900 NJ Primary

Addresses

Primary practice location

39 E Main St Ste 203
Marlton, NJ 08053-2154

Mailing address

426 Chanticleer
Cherry Hill, NJ 08003-4831
Phone (609) 922-3803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05790900NJMDClinical Social Worker
CW021815PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Wegmann LLC Clinical CurrentSince May 25, 2025 Accepting new patients

Locations

39 E Main St
Ste 203
Marlton, NJ 08053
Phone (856) 409-0610

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1033603568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 CHANTICLEER",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034831",
            "telephone_number": "609-922-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E MAIN ST STE 203",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532154",
            "telephone_number": "856-409-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGMANN",
        "first_name": "TAYLOR",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021815",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05790900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.