Penny L. Taylor, MDIV, MSW, PHD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013853 Issued in IL

Practice address

3604 Sunnyside Ave
Brookfield, IL 60513-1630

Phone

(708) 387-7986

NPI assigned

May 20, 2022

Last updated

May 20, 2022By the provider in NPPES

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

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Penny and Bill CompanyGroup PAC ID 4981086311, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Penny & Bill Company

  dba Center to Awaken Kindness

  • Clinical Social Worker
  • Brookfield, IL
  • NPI 1497486112
  Medicare reassignment Care Compare group NPD
• Samaritan Interfaith Counseling Center Inc.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1497842983
  Medicare reassignment NPD
• Samaritan Counseling Center

  • Marriage & Family Therapist
  • Winnetka, IL
  • NPI 1841397353
  NPD (past)

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1033857958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 SUNNYSIDE AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131630",
            "telephone_number": "708-387-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 SUNNYSIDE AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131630",
            "telephone_number": "708-387-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PENNY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MDIV, MSW, PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Anne SMRT, SLP
• Robert Sonderby
• Megan C Styx, FNP-C
• Larry Wayne Svihlik, D.C.
• Nicole Joy Taylor, LCSW
• The Social Play Pediatric Therapy LLC
• The Social Play Therapy Services PLLC
• Time to Talk
• Todd Martin, DDS
• George Tomecki, M.D.

• Clinical Social Worker in Brookfield, IL
• Providers in Brookfield, 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 May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.