Roberta Olivia Taylor, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

078785 Issued in NY

Practice address

1065 Dolsontown Rd
Middletown, NY 10940-4744

Phone

(718) 869-4652

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1043837388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 DOLSONTOWN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404744",
            "telephone_number": "718-869-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 DOLSONTOWN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404744",
            "telephone_number": "718-869-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ROBERTA",
        "middle_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "078785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramzi A. Tawil, M.D.
• Rashmi P Tawil, M.D.
• Tiasha Taylor Rosa
• Darniele Natasha Taylor, D.O.
• Meleta Marie Taylor, NP
• Clifford M Teich, M.D.
• Amanda Liane Teichman, M.D.
• Arezoo Teimouri, PA
• Roman Temkin, D.D.S.
• Tenise Wall, LCSW Counseling Services PLLC

• Social Worker in Middletown, NY
• Providers in Middletown, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.