Rebecca Taylor, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2012023338 Issued in MO

Practice address

4132 Keaton Crossing Blvd Ste 204
O Fallon, MO 63368-8223

Phone

(636) 789-1231

Fax

(636) 317-6002

NPI assigned

Sep 5, 2012

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114276250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 KEATON CROSSING BLVD STE 204",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688223",
            "telephone_number": "636-789-1231",
            "fax_number": "636-317-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KEATON CROSSING BLVD STE 204",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688223",
            "telephone_number": "636-789-1231",
            "fax_number": "636-317-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 East Ave",
            "address_2": "suite 6",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "MO",
            "postal_code": "633893440",
            "country_code": "US",
            "telephone_number": "636-668-6707",
            "fax_number": "636-668-6685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "REBECCA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012023338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Tabak, LCSW
• Luke F Taccola, PT, DPT
• Melody Tamakloe, EDD
• Christina Marie Tapella, MS, CCC-SLP
• Madison Grace Tapia, DDS
• Stephanie Jo Taylor
• Trisha L. Taylor, MOT, OTR L
• Jocelyn Deslauriers Teagarden, PHARM.D
• Stephanie L Tegtmeier, OTR L
• Matthew David Telmer, FNP

• Clinical Social Worker in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.