Individual provider Active NPI

Taylor Carrillo, LCSW-A

  • Clinical Social Worker
  • Boone, NC
National Provider Identifier
1164334157
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P024429 Issued in NC
Practice address
7672 NC Highway 105 S
Boone, NC 28607-7330
Phone
(828) 832-6366
NPI assigned
Sep 22, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 P024429 NC Primary

Addresses

Primary practice location

7672 NC Highway 105 S
Boone, NC 28607-7330

Mailing address

1047 Land HBR
Newland, NC 28657-7901
Phone (307) 749-3027

Other practice location 1

8 W 2nd St
West Jefferson, NC 28694
Phone (828) 832-6366

Other practice location 2

525 W Main St
Burnsville, NC 28714-2860
Phone (828) 832-6366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1164334157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 LAND HBR",
            "city": "NEWLAND",
            "state": "NC",
            "postal_code": "286577901",
            "telephone_number": "307-749-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7672 NC HIGHWAY 105 S",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077330",
            "telephone_number": "828-832-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "West Jefferson",
            "state": "NC",
            "postal_code": "28694",
            "country_code": "US",
            "telephone_number": "828-832-6366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 W Main St",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "NC",
            "postal_code": "287142860",
            "country_code": "US",
            "telephone_number": "828-832-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "TAYLOR",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P024429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.