Active NPI
Taylor Dillon, LISW
- Clinical Social Worker
- Huron, OH
National Provider Identifier
1245610591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1801039
- Practice address
- 348 Main St
Huron, OH 44839-1610 - Phone
- (419) 366-3533
- NPI assigned
- Jun 2, 2015
- Last updated
- Feb 12, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0261888 | Medicaid | OH |
Other names 1
- Taylor Montana & Smith
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 |
|---|---|---|---|
| S1440457 | OH | MD | Social Worker |
| I.1801039 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundant Life Counseling & Consulting Services, LLC | Clinical | Current | Accepting new patients |
| Ccfi Counseling, LLC | Clinical | Past | Accepting new patients |
| Couples, Children, Family, and Individual Counseling, LLC | Past | 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.
-
- Clinical Social Worker
- Huron, OH
- NPI 1407478555
-
dba Couples, Children, Family, and Individual Counseli
- Mental Health Counselor
- Wakeman, OH
- NPI 1073177382
Clinical
-
dba CCFI Counseling, LLC
- Mental Health Counselor
- Wakeman, OH
- NPI 1568026300
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.