Individual provider Active NPI

Floyd E Taliaferro IV, LICSW, LCSWC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1336579762
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50082004 Issued in DC
Practice address
107 E 25TH St
Baltimore, MD 21218-5213
Phone
(410) 558-0032
Fax
(410) 366-2108
NPI assigned
Nov 21, 2013
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 18615 MD
Clinical Social Worker 1041C0700X 18615 MD
Clinical Social Worker 1041C0700X LC50082004 DC Primary
School Social Worker 1041S0200X LC50082004 DC

Addresses

Primary practice location

107 E 25TH St
Baltimore, MD 21218-5213

Mailing address

6133 Marlora Rd
Baltimore, MD 21239-1929
Phone (410) 262-7104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250805003529 MD Practitioner - Clinical Social Worker 7113060914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Walks of Life, LLCGroup PAC ID 7214070010, 2 clinicians

Practice addresses (Care Compare)

107 E 25TH St
Baltimore, MD 21218-5213
Phone (410) 558-0032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50082004DCMDClinical Social Worker
18615MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Walks of Life, LLC CurrentSince May 1, 2025 Accepting new patients
All Walks of Life, LLC Past Accepting new patients
All Walks of Life, LLC Past Accepting new patients
All Walks of Life, LLC Past Accepting new patients
All Walks of Life, LLC Past Accepting new patients
All Walks of Life, LLC Past Accepting new patients

Locations

107 E 25th St
Baltimore, MD 21218
Phone (410) 558-0019

Organizations & group practices 7

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": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1336579762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 MARLORA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391929",
            "telephone_number": "410-262-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185213",
            "telephone_number": "410-558-0032",
            "fax_number": "410-366-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIAFERRO",
        "first_name": "FLOYD",
        "middle_name": "E",
        "name_suffix": "IV",
        "credential": "LICSW, LCSWC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-21",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "18615",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18615",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082004",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LC50082004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.