Active NPI
Dana Adair Taylor, LCSW
- Clinical Social Worker
- Ottawa, IL
National Provider Identifier
1285247890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.026262
- Practice address
- 727 E Etna Rd
Ottawa, IL 61350-1040 - Phone
- (815) 434-4727
- NPI assigned
- Aug 25, 2020
- Last updated
- Apr 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.026262 | IL | Primary |
Addresses
Primary practice location
727 E Etna Rd
Ottawa, IL 61350-1040
Mailing address
727 E Etna Rd
Ottawa, IL 61350-1040
Phone (815) 434-4727
Other practice location 1
905 Fillebrowne St
Marseilles, IL 61341-1236
Phone (815) 342-6017
Other names 1
- Dana A Nolan
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 |
|---|---|---|---|
| 149.026262 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1285247890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 E ETNA RD",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613501040",
"telephone_number": "815-434-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 E ETNA RD",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613501040",
"telephone_number": "815-434-4727"
}
],
"practiceLocations": [
{
"address_1": "905 Fillebrowne St",
"address_purpose": "LOCATION",
"city": "Marseilles",
"state": "IL",
"postal_code": "613411236",
"country_code": "US",
"telephone_number": "815-342-6017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "DANA",
"middle_name": "ADAIR",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-25",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.026262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "NOLAN",
"middle_name": "A",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ottawa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.