Active NPI
Taalor Johnson, LCSW
- Clinical Social Worker
- Phoenix, AZ
National Provider Identifier
1205575156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-21721
- Practice address
- 610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536 - Phone
- (602) 230-7373
- Fax
- (602) 441-5836
- NPI assigned
- May 31, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-17307 | AZ | |
| Clinical Social Worker | 1041C0700X | LCSW-21721 | AZ | Primary |
Addresses
Primary practice location
610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536
Mailing address
3101 N Central Ave Ste 500
Phoenix, AZ 85012-2639
Phone (602) 329-8250
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-17307 | AZ | MD | Social Worker |
| LCSW-21721 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1205575156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 N CENTRAL AVE STE 500",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122639",
"telephone_number": "602-329-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E BASELINE RD STE 5",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850426536",
"telephone_number": "602-230-7373",
"fax_number": "602-441-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TAALOR",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-31",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-17307",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-21721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.