Individual provider Active NPI

Taylor Seegmiller, BS, MSW,

  • Social Worker
  • New York, NY
National Provider Identifier
1306493911
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
109993-01 Issued in NY
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
109993-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.