Active NPI
Jil Marie Taylor, LMSW
- Social Worker
- Clarkston, WA
National Provider Identifier
1437349107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-28303
- Practice address
- 629 6TH St
Clarkston, WA 99403-2010 - Phone
- (509) 758-9698
- Fax
- (509) 758-9664
- NPI assigned
- Jul 30, 2007
- Last updated
- Oct 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC0005858564 | WA | |
| Social Worker | 104100000X | LMSW-28303 | ID | Primary |
Addresses
Primary practice location
629 6TH St
Clarkston, WA 99403-2010
Mailing address
629 6TH St
Clarkston, WA 99403-2010
Phone (509) 758-9698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 28, 2018 through Feb 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC0005858564 | WA | MD | Counselor |
| LMSW-28303 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Educational and Psychological Services | Past | Accepting new patients | |
| Fitzgerald Psychological Services, P.S. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Clarkston, WA
- NPI 1891064606
-
- Psychologist
- Clarkston, WA
- NPI 1710322755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193443200000",
"number": "1437349107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 6TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032010",
"telephone_number": "509-758-9698",
"fax_number": "509-758-9664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 6TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032010",
"telephone_number": "509-758-9698",
"fax_number": "509-758-9664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JIL",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2007-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC0005858564",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-28303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.