Marjorie Taylor, LICSW

Individual provider Active NPI Social Worker · South Egremont, MA

NPI 1326224403 · NPPES record last updated Jul 23, 2015

Key facts

NPI
1326224403
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
46 Main St
Unit # 5
South Egremont, MA 01258-9706
Phone
(860) 347-3347
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

46 Main St
Unit 5
S Egremont, MA 01258-9706
Phone (860) 387-3347

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100423000465 MA Practitioner - Clinical Social Worker 8022143627 Reassigns benefits to 1 organization
Practice locations: S Egremont, MA

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical & Support Options, Inc Current
since Feb 4, 2012
Accepting new patients

Locations

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

46 Main St
Unit # 5
South Egremont, MA 01258-9706

Mailing address

10 W Cornwall Rd
Sharon, CT 06069-2100
Phone (860) 387-3347

Other providers in South Egremont, MA

All providers in South Egremont, MA · Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.