Individual provider Active NPI

Taylor Kirk, MSW, RCSWI

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1326809252
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW17050 Issued in FL
Practice address
7950 25TH Ave N
St Petersburg, FL 33710-3729
Phone
(913) 439-9898
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 ISW17050 FL Primary

Addresses

Primary practice location

7950 25TH Ave N
St Petersburg, FL 33710-3729

Mailing address

7950 25TH Ave N
St Petersburg, FL 33710-3729
Phone (913) 439-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250113002051 FL Practitioner - Clinical Social Worker 7416485867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Psychotherapy LLCGroup PAC ID 5698117182, 3 clinicians

Practice addresses (Care Compare)

7673 Ridgelake Cir
Bradenton, FL 34203-2508
Phone (941) 900-8661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW17050FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Psychotherapy LLC Clinical CurrentSince Sep 23, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1326809252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 25TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103729",
            "telephone_number": "913-439-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 25TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103729",
            "telephone_number": "913-439-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "TAYLOR",
        "credential": "MSW, RCSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW17050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.