Patrick Michael Taylor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-4876 Issued in HI

Practice address

2D Medical Group 243 Curtiss Road
Suite 100
Barksdale AFB, LA 71110-2425

Phone

(318) 456-6600

NPI assigned

Jul 20, 2018

Sex

Male

Sole proprietor

No

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1487131660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2D MEDICAL GROUP 243 CURTISS ROAD",
            "address_2": "SUITE 100",
            "city": "BARKSDALE AFB",
            "state": "LA",
            "postal_code": "711102425",
            "telephone_number": "318-456-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2D MEDICAL GROUP 243 CURTISS ROAD",
            "address_2": "SUITE 100",
            "city": "BARKSDALE AFB",
            "state": "LA",
            "postal_code": "711102425",
            "telephone_number": "318-456-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 WAIMANU ST SUITE 612",
            "address_purpose": "LOCATION",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135248",
            "country_code": "US",
            "telephone_number": "808-791-6713",
            "fax_number": "808-791-6081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynasty Stokes, DNP, RN, APRN, WHNP
• Brandy Morgan Stroud
• Sunland Optical Co., Inc.
• Torrian Tatum, IDMT
• Beau J Taylor, PA-C
• Joyanne Tesei, PA
• Aaron Sunil Thaker, MD
• Tony Lee Thomas Jr., LCSW
• Julie Marie Thompson, NP
• Jennifer Tovar

• Clinical Social Worker in Barksdale AFB, LA
• Providers in Barksdale AFB, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.