Active NPI
Laura H. Taylor, LCSW
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1164426904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C001656
- Practice address
- 711 Executive PL
Fayetteville, NC 28305-5193 - Phone
- (910) 615-3333
- Fax
- (910) 615-9863
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C001656 | NC | Primary |
| Mental Health Counselor | 101YM0800X | C001656 | NC |
Addresses
Primary practice location
711 Executive PL
Fayetteville, NC 28305-5193
Mailing address
PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003297 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Brody School of Medicine at East Carolina University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
711 Executive PL
FL 4
Fayetteville, NC 28305-5193
Phone (910) 323-2311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C001656 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients |
Locations
3425 Melrose Rd
Fayetteville, NC 28304
Phone (910) 609-3700
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Orthopaedic Surgery Physician
- Fayetteville, NC
- NPI 1235957655
-
- Family Medicine Physician
- Lumberton, NC
- NPI 1235687385
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1164426904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40908",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283090908",
"telephone_number": "910-615-6949",
"fax_number": "910-609-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 EXECUTIVE PL",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055193",
"telephone_number": "910-615-3333",
"fax_number": "910-615-9863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LAURA",
"middle_name": "H.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C001656",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "C001656",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003297",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.