Active NPI
Taylor Lynn Graves, LMSW
- Social Worker
- Ponchatoula, LA
National Provider Identifier
1518786458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 16570
- Practice address
- 1054 SW Railroad Ave
Ponchatoula, LA 70454-3557 - Phone
- (985) 515-8409
- NPI assigned
- Oct 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 16570 | LA | Primary |
Addresses
Primary practice location
1054 SW Railroad Ave
Ponchatoula, LA 70454-3557
Mailing address
1054 SW Railroad Ave
Ponchatoula, LA 70454-3557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16570 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1518786458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 SW RAILROAD AVE",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704543557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 SW RAILROAD AVE",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704543557",
"telephone_number": "985-515-8409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "TAYLOR",
"middle_name": "LYNN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "16570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponchatoula, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.