Individual provider Active NPI

Taya Herum, MSW, LCSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1417631748
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12134 Issued in WI
Practice address
128 E Olin Ave Ste 100
Madison, WI 53713-1467
Phone
(608) 252-1320
Fax
(608) 252-1333
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 12134 WI
Clinical Social Worker 1041C0700X 12134 WI Primary

Addresses

Primary practice location

128 E Olin Ave Ste 100
Madison, WI 53713-1467

Mailing address

128 E Olin Ave Ste 100
Madison, WI 53713-1467
Phone (608) 252-1320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250214000595 WI Practitioner - Clinical Social Worker 5799215166 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12134WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Madison Inc CurrentSince Feb 3, 2025 Accepting new patients
Hhu Xtra Care Inc PastSince Feb 3, 2025 Accepting new patients

Locations

128 E Olin Ave
Ste 100
Madison, WI 53713
Phone (608) 252-1320

128 E Olin Ave
Madison, WI 53713
Phone (608) 252-1320

Organizations & group practices 2

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1417631748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E OLIN AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131467",
            "telephone_number": "608-252-1320",
            "fax_number": "608-252-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E OLIN AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131467",
            "telephone_number": "608-252-1320",
            "fax_number": "608-252-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERUM",
        "first_name": "TAYA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "12134",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.