Active NPI
Sonya Trudi Taylor, L.C.S.W.
- Social Worker
- Melbourne, FL
National Provider Identifier
1356492441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4744
- Practice address
- 1900 S Harbor City Blvd
Suite 105
Melbourne, FL 32901-4749 - Phone
- (321) 951-3131
- Fax
- (321) 951-3131
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4744 | FL | Primary |
Addresses
Primary practice location
1900 S Harbor City Blvd
Suite 105
Melbourne, FL 32901-4749
Mailing address
1900 S Harbor City Blvd
Suite 105
Melbourne, FL 32901-4749
Phone (321) 951-3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4744 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356492441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 S HARBOR CITY BLVD",
"address_2": "SUITE 105",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329014749",
"telephone_number": "321-951-3131",
"fax_number": "321-951-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S HARBOR CITY BLVD",
"address_2": "SUITE 105",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329014749",
"telephone_number": "321-951-3131",
"fax_number": "321-951-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SONYA",
"middle_name": "TRUDI",
"name_prefix": "Miss",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "4744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.