Jaylene Taubert, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149024698 Issued in IL

Practice address

712 E Empire St Ste 1
Bloomington, IL 61701-3252

Phone

(309) 310-2841

NPI assigned

Oct 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1033834858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 CARRINGTON LN",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617056599",
            "telephone_number": "309-310-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E EMPIRE ST STE 1",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013252",
            "telephone_number": "309-310-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUBERT",
        "first_name": "JAYLENE",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Taplin, MA
• Anna Marie Taravella, M.S.
• Kiara A Tate
• Chad Tattini
• Rebecca Eileen Tatz, LPC
• Kent S. Taulbee, M.D.
• Donald Nardi Taylor
• Jayden Taylor
• Timothy W Taylor, RPH
• Tcom Specialty Physicians, LLC

• Clinical Social Worker in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.