Individual provider Active NPI

Taylor Zimmerman, LMSW

  • Clinical Social Worker
  • Manhattan, KS
National Provider Identifier
1093327181
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06146 Issued in KS
Practice address
205 S 4TH St Ste J
Manhattan, KS 66502-6168
Phone
(785) 560-3101
Fax
(785) 527-8317
NPI assigned
Aug 19, 2020
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11892 KS
Clinical Social Worker 1041C0700X 06146 KS Primary

Addresses

Primary practice location

205 S 4TH St Ste J
Manhattan, KS 66502-6168

Mailing address

1913 M St
Belleville, KS 66935-2238
Phone (785) 527-8271

Other practice location 1

1115 Westport Dr Ste D2
Manhattan, KS 66502-2880
Phone (785) 560-3101

Other practice location 2

209 W 6th St
Concordia, KS 66901-2816
Phone (785) 560-3101

Other names 1

  • Taylor Barker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20231215001664 KS Practitioner - Clinical Social Worker 7719336775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Courser Lapo IncGroup PAC ID 4183055270, 11 clinicians

Practice addresses (Care Compare)

1913 M St
Belleville, KS 66935-2238
Phone (785) 527-8271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11892KSMDDental Hygienist

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1093327181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 M ST",
            "city": "BELLEVILLE",
            "state": "KS",
            "postal_code": "669352238",
            "telephone_number": "785-527-8271",
            "fax_number": "785-527-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S 4TH ST STE J",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026168",
            "telephone_number": "785-560-3101",
            "fax_number": "785-527-8317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Westport Dr Ste D2",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665022880",
            "country_code": "US",
            "telephone_number": "785-560-3101",
            "fax_number": "785-527-8317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Concordia",
            "state": "KS",
            "postal_code": "669012816",
            "country_code": "US",
            "telephone_number": "785-560-3101",
            "fax_number": "785-527-8317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "TAYLOR",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11892",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "BARKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.