Jacqueline Taylor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25393 Issued in CA

Practice address

170 Inner Loop Rd
Fort Irwin, CA 92310

Phone

(760) 267-3218

NPI assigned

Dec 3, 2009

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1285962134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13184 CONCORD DR",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928716",
            "telephone_number": "760-267-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 INNER LOOP RD",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-267-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Stunja, RD, LD, CDE
• Lytosia Denise Sutton, DA
• Tafaogalupe Swanney, DENTAL ASSISTANT
• George Stanley Szworc-Betran, RN
• Clifton Edward Tavares, BSN, RN
• Kristen A. Tharp, R.N.
• Jesse Craig Thompson, DMD
• Jordan H.Q. Tran, DMD
• Ashonda T-Kay Trice, RN
• Nhat Truong

• Clinical Social Worker in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.