Kelley Taylor, MSW, CDP, LICSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC60475060 Issued in WA

Practice address

1224 N Ash St
Spokane, WA 99201-2802

Phone

(509) 326-7740

Fax

(509) 326-6725

NPI assigned

Feb 19, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North East Washington Treatment Alternatives

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Spokane, WA
  • NPI 1952474405
  NPD (past)

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1235521808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 N ASH ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012802",
            "telephone_number": "509-326-7740",
            "fax_number": "509-326-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 N ASH ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012802",
            "telephone_number": "509-326-7740",
            "fax_number": "509-326-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KELLEY",
        "name_prefix": "Mrs.",
        "credential": "MSW, CDP, LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00005782",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60475060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952474405",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Press Taylor, MSW
• Jessica Taylor, RDH
• Jessica M Taylor, LMFT
• Jordan M. Taylor, MD
• Julia Ann Taylor, PAC
• Kinin Suos Taylor
• Lori D Taylor, ARNP
• Mathilda Louise Taylor, BEHAVIOR SPECIALIST
• Michael Allen Taylor, PHARM D
• Petra Taylor, PTA

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.