Individual provider Active NPI

Kristen Nicole Taylor, MSW, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1114789245
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26844 Issued in MD
Practice address
8120 Woodmont Ave Ste 840
Bethesda, MD 20814-2789
Phone
(240) 618-2889
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 26844 MD Primary

Addresses

Primary practice location

8120 Woodmont Ave Ste 840
Bethesda, MD 20814-2789

Mailing address

8120 Woodmont Ave Ste 840
Bethesda, MD 20814-2789
Phone (240) 618-2889

Other practice location 1

9420 Key West Ave Ste 430
Rockville, MD 20850-6371
Phone (301) 579-0089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1114789245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 WOODMONT AVE STE 840",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142789",
            "telephone_number": "240-618-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 WOODMONT AVE STE 840",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142789",
            "telephone_number": "240-618-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9420 Key West Ave Ste 430",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506371",
            "country_code": "US",
            "telephone_number": "301-579-0089",
            "fax_number": "240-623-9858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.