Active NPI
Terry Ann Taylor, LICENSED CLINICAL SO
- Clinical Social Worker
- Baldwin Park, CA
National Provider Identifier
1083801682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW14546
- Practice address
- 1101 Baldwin Park Blvd
Baldwin Park, CA 91746 - Phone
- (909) 394-5333
- Fax
- (909) 394-5330
- NPI assigned
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW14546 | CA | Primary |
Addresses
Primary practice location
1101 Baldwin Park Blvd
Baldwin Park, CA 91746
Mailing address
1101 Baldwin Park Blvd
Baldwin Park, CA 91746
Phone (909) 394-5333
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW14546 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1083801682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 BALDWIN PARK BLVD",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "91746",
"telephone_number": "909-394-5333",
"fax_number": "909-394-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 BALDWIN PARK BLVD",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "91746",
"telephone_number": "909-394-5333",
"fax_number": "909-394-5330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TERRY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LICENSED CLINICAL SO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW14546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.