Individual provider Active NPI

Audrey Sharon Taylor-Wood, LCSW

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1548689953
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 10802 Issued in AZ
Practice address
11300 N 64TH St
Scottsdale, AZ 85254-5007
Phone
(602) 679-3691
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 10802 AZ Primary

Addresses

Primary practice location

11300 N 64TH St
Scottsdale, AZ 85254-5007

Mailing address

8335 E Mackenzie Dr
Scottsdale, AZ 85251-2810
Phone (602) 679-3691

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

LicenseStateTypeSpecialty
LCSW 10802AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1548689953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 E MACKENZIE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512810",
            "telephone_number": "602-679-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 N 64TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545007",
            "telephone_number": "602-679-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-WOOD",
        "first_name": "AUDREY",
        "middle_name": "SHARON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 10802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.