Active NPI
Baniela J. Taylor, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1194332783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904012362
- Practice address
- 107 S 5TH St
Richmond, VA 23219-3825 - Phone
- (804) 819-4000
- Fax
- (804) 819-5221
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904012362 | VA | Primary |
Addresses
Primary practice location
107 S 5TH St
Richmond, VA 23219-3825
Mailing address
107 S 5TH St
Richmond, VA 23219-3825
Phone (804) 819-4000
Other practice location 1
12300 Moores Lake Road
#1314
Chester, VA 23831
Phone (804) 971-2957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904012362 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1194332783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S 5TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232193825",
"telephone_number": "804-819-4000",
"fax_number": "804-819-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S 5TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232193825",
"telephone_number": "804-819-4000",
"fax_number": "804-819-5221"
}
],
"practiceLocations": [
{
"address_1": "12300 Moores Lake Road",
"address_2": "#1314",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "VA",
"postal_code": "23831",
"country_code": "US",
"telephone_number": "804-971-2957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "BANIELA",
"middle_name": "J.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904012362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.