Elizabeth Gamble Taylor, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15897 Issued in MN

Practice address

8401 Wayzata Blvd Ste 370
Golden Valley, MN 55426-1379

Phone

(763) 544-1006

Fax

(763) 544-1008

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Apr 18, 2022 through Apr 18, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hoy & Associates Inc.

  • Community/Behavioral Health Agency
  • Golden Valley, MN
  • NPI 1831239003
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083738447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 VINCENT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102249",
            "telephone_number": "612-889-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD STE 370",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261379",
            "telephone_number": "763-544-1006",
            "fax_number": "763-544-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ELIZABETH",
        "middle_name": "GAMBLE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Christine Szuper, RRT
• Lawrence Talery
• Talking Place LLC
• Andrea Tamez
• Junger Tang, M.D.
• Alyxandra Susan Teske, A.T.C., A.T.R.
• The Winkley Company
• The Zins Chiropractic Clinic, LTD.
• Addison R Thelen, LICSW
• Thibodeaux Real Estate Conglomerate

• Clinical Social Worker in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.