Joanna Taylor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007908 Issued in GA

Practice address

601 Virginia Ave N Ste 1
Tifton, GA 31794-4268

Phone

(229) 396-5507

Fax

(229) 396-5093

NPI assigned

Aug 3, 2020

Last updated

Feb 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Tranquil Waves Therapy, LLC

  • Clinical Social Worker
  • Tifton, GA
  • NPI 1033884747
  Authorized official Same address or phone

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1245840511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16245 VALDOSTA HWY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026066",
            "telephone_number": "229-740-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 VIRGINIA AVE N STE 1",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944268",
            "telephone_number": "229-396-5507",
            "fax_number": "229-396-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Joan Swanson, PHARM.D
• Courtney L Taibi, FNP-C
• Alexia Michelle Tanner, LCSW
• Clayton Ross Tapp
• Amy Roberson Taylor, NP-C
• Larry Lee Taylor Jr., NP
• Rita P Taylor, FNP
• Troy Taylor, PA
• Arslan Tayyab, MBBS
• Ted a McElroy OD, PC (Vision Source Tifton)

• Clinical Social Worker in Tifton, GA
• Providers in Tifton, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.