Individual provider Active NPI

Taylor Rae Lawson, MSW, LICSW

  • Clinical Social Worker
  • St Louis Park, MN
National Provider Identifier
1316506637
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22265 Issued in MN
Practice address
5354 Parkdale Dr FL 2
St Louis Park, MN 55416
Phone
(866) 821-0281
NPI assigned
Jun 10, 2019
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22265 MN Primary

Addresses

Primary practice location

5354 Parkdale Dr FL 2
St Louis Park, MN 55416

Mailing address

5354 Parkdale Dr FL 2
St Louis Park, MN 55416-1603
Phone (866) 821-0281

Other practice location 1

1826 Pierce St NE # 2
Minneapolis, MN 55418-4612
Phone (507) 581-9637

Other practice location 2

Maple Grove Therapy and Wellness
7200 Forestview Ln N
Maple Grove, MN 55369
Phone (763) 200-1466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • 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
I20200130001925 MN Practitioner - Clinical Social Worker 9537595186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program P C CurrentSince Nov 17, 2019 Accepting new patients
Taylor Lawson, LLC Current Accepting new patients

Locations

1295 Bandana Blvd N
Ste 210
Saint Paul, MN 55108
Phone 8883645977324

2265 Como Ave
Saint Paul, MN 55108

5354 Parkdale Dr
Fl 2
St Louis Park, MN 55416
Phone 6516455323 ext. 1480

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, 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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1316506637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 PARKDALE DR FL 2",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161603",
            "telephone_number": "866-821-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 PARKDALE DR FL 2",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "866-821-0281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1826 Pierce St NE # 2",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554184612",
            "country_code": "US",
            "telephone_number": "507-581-9637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Maple Grove Therapy and Wellness",
            "address_2": "7200 Forestview Ln N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "55369",
            "country_code": "US",
            "telephone_number": "763-200-1466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "TAYLOR",
        "middle_name": "RAE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.