Individual provider Active NPI

Katherine Diane Taylor, LCSW MSW

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1043362635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7996 Issued in CA
Practice address
5855 E Naples Plaza
#308
Long Beach, CA 90803-5060
Phone
(562) 433-2263
Fax
(562) 594-4360
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7996 CA Primary

Addresses

Primary practice location

5855 E Naples Plaza
#308
Long Beach, CA 90803-5060

Mailing address

5855 E Naples Plaza
#308
Long Beach, CA 90803-5060
Phone (562) 433-2263

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7996CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043362635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 E NAPLES PLAZA",
            "address_2": "#308",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035060",
            "telephone_number": "562-433-2263",
            "fax_number": "562-594-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 E NAPLES PLAZA",
            "address_2": "#308",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035060",
            "telephone_number": "562-433-2263",
            "fax_number": "562-594-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KATHERINE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LCSW MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "7996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.