Adam John Taylor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016275 Issued in NC

Practice address

224 D. L. Ingram Ave BLDG. 1408
Cannon Afb, NM 88101

Phone

(575) 748-1108

NPI assigned

Aug 29, 2022

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1164142568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 W UNIVERSITY DR",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309345",
            "telephone_number": "410-336-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 D. L. INGRAM AVE BLDG. 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-748-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ADAM",
        "middle_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Ellen Shepherd, PH.D.
• Luke Smith, DMD
• Nicholas Kenneth Smythe III, PH.D. IN PROGRESS
• Andrew Springstead
• Justin D Sterett, M.D.
• Andrea Theye, PSY. D.
• Kathleen Thomas, DMD
• Edwin Josue Toro Alvarado, MSW
• Donald Joseph Trigg, PA-C
• Stephanie Nicole Valverde, LCSW

• Clinical Social Worker in Cannon Afb, NM
• Providers in Cannon Afb, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; 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.