Individual provider Active NPI

Taylor Dillon, LISW

  • Clinical Social Worker
  • Huron, OH
National Provider Identifier
1245610591
Registry record updated Feb 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1801039 Issued in OH
Practice address
348 Main St
Huron, OH 44839-1610
Phone
(419) 366-3533
NPI assigned
Jun 2, 2015
Last updated
Feb 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1440457 OH
Clinical Social Worker 1041C0700X I.1801039 OH Primary

Addresses

Primary practice location

348 Main St
Huron, OH 44839-1610

Mailing address

348 Main St
Huron, OH 44839-1610
Phone (419) 366-3533

Other identifiers 1

IdentifierTypeStateIssuer
0261888MedicaidOH

Other names 1

  • Taylor Montana & Smith Former name

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

LicenseStateTypeSpecialty
S1440457OHMDSocial Worker
I.1801039OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Counseling & Consulting Services, LLC Clinical CurrentSince Oct 24, 2021 Accepting new patients
Ccfi Counseling, LLC Clinical PastSince Aug 11, 2019 Accepting new patients
Couples, Children, Family, and Individual Counseling, LLC PastSince Aug 11, 2019 Accepting new patients

Locations

348 Main St
Huron, OH 44839
Phone (419) 359-0307

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676160000000",
    "number": "1245610591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MAIN ST",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448391610",
            "telephone_number": "419-366-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MAIN ST",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448391610",
            "telephone_number": "419-366-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "TAYLOR",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2023-02-12",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1440457",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0261888",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "MONTANA & SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.