Tracy Bell Taylor

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17900 Issued in FL

Practice address

1150 Malabar Rd SE Ste 111-112
Palm Bay, FL 32907-3239

Phone

(772) 469-6466

Fax

(888) 419-1172

NPI assigned

Aug 10, 2011

Last updated

Mar 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renewed Mind Counseling Service

  • Clinical Social Worker
  • Vero Beach, FL
  • NPI 1174137517

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1386923126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MALABAR RD SE STE 111-112",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073239",
            "telephone_number": "772-469-6466",
            "fax_number": "888-419-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MALABAR RD SE STE 111-112",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073239",
            "telephone_number": "772-469-6466",
            "fax_number": "888-419-1172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "398 Germany Ave SW",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "32908",
            "country_code": "US",
            "telephone_number": "772-713-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TRACY",
        "middle_name": "BELL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15656",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Taylor-Reffner, L.M.H.C.
• Angela Marie Taylor
• Christy Taylor, LCSW
• Darla Michelle Taylor, APRN
• Robert Michael Taylor, M.D.
• Teak Haven Company, LLC
• Tele-Me About It PLLC
• Milena Tellechea Casanueva, ARNP
• Tellycares, LLC
• Tender at Heart Assisted Living Facility I

• Clinical Social Worker in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.