Individual provider Active NPI

Megan Delora Taylor, LCSW-C

  • Clinical Social Worker
  • Mechanicsville, MD
National Provider Identifier
1376062240
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22380 Issued in MD
Practice address
28098 Ben Oaks Dr
Mechanicsville, MD 20659-3379
Phone
(301) 200-1881
Fax
(301) 597-1237
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 22380 MD
Clinical Social Worker 1041C0700X 22380 MD Primary

Addresses

Primary practice location

28098 Ben Oaks Dr
Mechanicsville, MD 20659-3379

Mailing address

PO Box 843
Mechanicsville, MD 20659-0843
Phone (301) 200-1881

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
I20210409001215 MD Practitioner - Clinical Social Worker 6406264548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calvert County Health DepartmentGroup PAC ID 7214188366, 19 clinicians

Practice addresses (Care Compare)

11845 HG Trueman Rd
Lusby, MD 20657-2855
Phone (410) 449-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22380MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert County Health Department CurrentSince Jan 7, 2024 Accepting new patients
Attune Wellness LLC Clinical CurrentSince Jun 2, 2024 Accepting new patients
Calvert County Health Department CurrentSince Jan 7, 2024 Accepting new patients
Calvert County Health Department Current Accepting new patients
Retina Consultants of Carolina, PA PastSince Mar 4, 1994 Accepting new patients

Locations

11845 Hg Trueman Rd
Lusby, MD 20657
Phone (410) 326-6344

65 Duke St
Ste 105
Prince Frederick, MD 20678
Phone (301) 200-1881

975 Solomons Island Rd N
Ste 119
Prnc Frederck, MD 20678
Phone (410) 535-5400

Organizations & group practices 5

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1376062240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206590843",
            "telephone_number": "301-200-1881",
            "fax_number": "301-597-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28098 BEN OAKS DR",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206593379",
            "telephone_number": "301-200-1881",
            "fax_number": "301-597-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MEGAN",
        "middle_name": "DELORA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2024-05-31",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22380",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, MD

Sources for this page

Verify at the official NPI Registry.