Nicholas Taylor, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2102620 Issued in OH

Practice address

1947 E Market St
Warren, OH 44483-6644

Phone

(330) 965-9999

Fax

(330) 757-0000

NPI assigned

Jan 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1467819367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11369 MARKET ST",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "444529782",
            "telephone_number": "330-965-9999",
            "fax_number": "330-757-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836644",
            "telephone_number": "330-965-9999",
            "fax_number": "330-757-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11369 Market St",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444529782",
            "country_code": "US",
            "telephone_number": "330-965-9999",
            "fax_number": "330-757-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-22",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0288035",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britton E Taylor, MPT
• Catina Taylor, MSW, LISW-S, LICDC
• Jacci Lynn Taylor
• Karah Taylor
• Kiwanna Lynn Taylor
• TCC 260 LLC
• Teaching Excellence
• Team Sanders Inc
• Dawn Tellman
• Tender Touch Quality Care

• Clinical Social Worker in Warren, OH
• Providers in Warren, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.