Teylor Isome
Individual provider Active NPI Clinical Social Worker · Brooklyn, MI
NPI 1033820600 · NPPES record last updated Dec 5, 2022
Key facts
- NPI
- 1033820600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6851114632 (MI)
- Practice address
- 119 Bingham Dr
Brooklyn, MI 49230-8926 - Phone
- (513) 693-0191
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851114632 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851114632 | MI | Yes |
Addresses
Primary practice location
119 Bingham Dr
Brooklyn, MI 49230-8926
Mailing address
2728 Westmar CT Apt 506
Toledo, OH 43615-2093
Phone (513) 693-0191
Other providers in Brooklyn, MI
- Corey David Huff
- Iha Health Service Corporation
- Iha Health Services Corporation
- Imagine Transporation LLC
- Irwin'S Homecare, LLC
- Jeffrey John Jacobs
- Jordan Jacobs
- Lori Janiga
- Jen Gallagher Counseling LLC
- Lisa Johnston
All providers in Brooklyn, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.