Individual provider Active NPI

Taylor Lynn Endicott, LISW

  • Clinical Social Worker
  • Findlay, OH
National Provider Identifier
1255987525
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2406171 Issued in OH
Practice address
1941 Carlin St
Findlay, OH 45840-1460
Phone
(419) 425-5050
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X I.2406171 OH Primary

Addresses

Primary practice location

1941 Carlin St
Findlay, OH 45840-1460

Mailing address

714 Lincolnshire LN
Findlay, OH 45840-6829
Phone (740) 262-9567

Other practice location 1

3645 Ridge Mill Dr
Hilliard, OH 43026-7752
Phone (614) 457-7876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213003578 OH Practitioner - Mental Health Counselor 1759811193 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Resource Center of Northwest Ohio Inc CurrentSince Dec 26, 2024 Accepting new patients
Family Resource Center of Northwest Ohio Inc Past Accepting new patients

Locations

1941 Carlin St
Findlay, OH 45840
Phone (419) 422-3711

530 S Main St
Lima, OH 45804
Phone (419) 222-1168

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1255987525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 LINCOLNSHIRE LN",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458406829",
            "telephone_number": "740-262-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 CARLIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401460",
            "telephone_number": "419-425-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3645 Ridge Mill Dr",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430267752",
            "country_code": "US",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-7896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDICOTT",
        "first_name": "TAYLOR",
        "middle_name": "LYNN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2406171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.