Matthew Taylor

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005944 Issued in GA

Practice address

1124 Evergreen Way
Stockbridge, GA 30281-6237

Phone

(678) 468-6712

NPI assigned

Apr 21, 2017

Last updated

Apr 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1407381015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 EVERGREEN WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816237",
            "telephone_number": "678-468-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 EVERGREEN WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816237",
            "telephone_number": "678-468-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ieshea Elaine Taylor
• Jonathan Wesley Taylor, PHARM.D
• Kristy Annette Taylor, BSW, MED
• Lauren W Taylor, NP
• Mary C. Taylor, M.D.
• Niefa Antoinette Taylor, LPC
• Quatisha Ashley Tedford, COSMETOLOGIST
• Nizar Ali Tejani, MD
• Natasha Charlette Telfair
• Cora Kathleen Temple, PHARMD

• Clinical Social Worker in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.