Individual provider Active NPI

Courtney Taylor, LCSW, LCADC

  • Clinical Social Worker
  • Wyckoff, NJ
National Provider Identifier
1073930582
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05719600 Issued in NJ
Practice address
252 Everett Ave Apt B
Wyckoff, NJ 07481-1940
Phone
(201) 800-4414
NPI assigned
Mar 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05719600 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00261100 NJ
Clinical Social Worker 1041C0700X LC19142 ME

Addresses

Primary practice location

252 Everett Ave Apt B
Wyckoff, NJ 07481-1940

Mailing address

252 Everett Ave Apt B
Wyckoff, NJ 07481-1940
Phone (201) 546-4213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20230703002585 NJ Practitioner - Clinical Social Worker 5698134021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Resolution CounselingGroup PAC ID 3779942198, 11 clinicians

Practice addresses (Care Compare)

26 Journal SQ
Suite 505
Jersey City, NJ 07306-4105
Phone (201) 632-5554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00261100NJMDAddiction (Substance Use Disorder) Counselor
LC19142MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resolution Counseling Clinical CurrentSince May 15, 2023 Accepting new patients

Locations

256 Broad St
Ste 2E
Bloomfield, NJ 07003
Phone (973) 259-1000

26 Journal Sq
Ste 505
Jersey City, NJ 07306
Phone (201) 212-6475

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1073930582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 EVERETT AVE APT B",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811940",
            "telephone_number": "201-546-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 EVERETT AVE APT B",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811940",
            "telephone_number": "201-800-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "COURTNEY",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05719600",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00261100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC19142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

Verify at the official NPI Registry.