Organization Active NPI

Taylor Wellness Center, Inc.

  • Clinical Social Worker
  • Pikesville, MD
National Provider Identifier
1326507237
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TAYLOR WELLNESS CENTER, INC.
Practice address
1314 Bedford Ave Ste 114
Pikesville, MD 21208-3737
Phone
(443) 431-3875
Fax
(443) 264-0426
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Fatima Taylor, LCSW-C
Title
President and Ceo
Phone
(443) 431-3875

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Recreation TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225800000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1314 Bedford Ave Ste 114
Pikesville, MD 21208-3737

Mailing address

10999 Red Run Blvd Ste 205
Owings Mills, MD 21117-3249
Phone (443) 431-3875

Other practice location 1

7 Pleasantview Church Rd
Port Deposit, MD 21904-1813
Phone (443) 431-3875

Other identifiers 1

IdentifierTypeStateIssuer
067037500MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL fatima.taylor@twcmd.com

National Provider Directory

National Provider Directory
Tax ID family
Taylor Wellness Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1326507237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10999 RED RUN BLVD STE 205",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173249",
            "telephone_number": "443-431-3875",
            "fax_number": "443-264-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 BEDFORD AVE STE 114",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083737",
            "telephone_number": "443-431-3875",
            "fax_number": "443-264-0426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Pleasantview Church Rd",
            "address_purpose": "LOCATION",
            "city": "Port Deposit",
            "state": "MD",
            "postal_code": "219041813",
            "country_code": "US",
            "telephone_number": "443-431-3875",
            "fax_number": "443-264-0426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAYLOR WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "443-431-3875",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067037500",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fatima.taylor@twcmd.com",
            "affiliation": "N",
            "address_1": "10999 Red Run Blvd Ste 205",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211173249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.