Active NPI
Taylor Seegmiller, BS, MSW,
- Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 109993-01
- Practice address
- 303 5TH Ave RM 1608
New York, NY 10016-6601 - Phone
- (801) 636-4292
- NPI assigned
- Aug 20, 2019
- Last updated
- Sep 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | 109993-01 | NY | Primary |
Addresses
Primary practice location
303 5TH Ave RM 1608
New York, NY 10016-6601
Mailing address
444 E 20TH St Apt 3D
New York, NY 10009-8142
Phone (801) 636-4292
Other practice location 1
790 Broadway
Brooklyn, NY 11206-5316
Phone (718) 388-5175
Other practice location 2
790 Broadway
Brooklyn, NY 11206-5316
Phone (718) 388-5175
Other practice location 3
1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 954-3800 ext. 205
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)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109993-01 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interborough Developmental and Consultation Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba IDCC Health Services
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1912867433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1306493911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 E 20TH ST APT 3D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100098142",
"telephone_number": "801-636-4292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 5TH AVE RM 1608",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166601",
"telephone_number": "801-636-4292"
}
],
"practiceLocations": [
{
"address_1": "790 Broadway",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112065316",
"country_code": "US",
"telephone_number": "718-388-5175",
"fax_number": "718-388-6159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "790 Broadway",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112065316",
"country_code": "US",
"telephone_number": "718-388-5175",
"fax_number": "718-388-6159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1623 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11229",
"country_code": "US",
"telephone_number": "718-954-3800 x205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEEGMILLER",
"first_name": "TAYLOR",
"name_prefix": "Miss",
"credential": "BS, MSW,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2020-09-02",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "109993-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.