Taylor A Eutsey, LSW, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06551700 Issued in NJ

Practice address

489 Jersey Ave
Jersey City, NJ 07302-3457

Phone

(551) 349-1727

NPI assigned

Mar 14, 2022

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

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": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1437807005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 COLUMBUS AVE APT 10J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241435",
            "telephone_number": "732-705-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 JERSEY AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023457",
            "telephone_number": "551-349-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Skillman",
            "state": "NJ",
            "postal_code": "085582642",
            "country_code": "US",
            "telephone_number": "609-323-5527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUTSEY",
        "first_name": "TAYLOR",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06551700",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merna Fakih Fanaweel Essha, RPH
• Joseph Essilfie
• Rheena Richie J. Estrella, PT, DPT,
• Mounika Ethanasioss, LCSW
• Ernest S Eusebio, PT, DPT
• Evening Star Rehabilitation Physical Therapy PC
• Everas Community Services, Inc.
• Everside Health, LLC (Marathon Health, Jersey City NJ)
• Everside Health, LLC
• Everyday ABA

• Social Worker in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.