Active NPI
Symika L. Taylor, MSW
- Clinical Social Worker
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW18022
- Practice address
- 2315 W Jackson St
Pensacola, FL 32505-7552 - Phone
- (850) 436-4630
- Fax
- (850) 436-2095
- NPI assigned
- Feb 12, 2020
- Last updated
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW8977 | FL | |
| Clinical Social Worker | 1041C0700X | SW18022 | FL | Primary |
Addresses
Primary practice location
2315 W Jackson St
Pensacola, FL 32505-7552
Mailing address
2315 W Jackson St
Pensacola, FL 32505-7552
Phone (850) 436-4630
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL | |
| 5OVGZ | Other | FL | BCBS FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1754 Sea Lark LN
Navarre, FL 32566-7406
Phone (850) 780-3496
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW8977 | FL | MD | Social Worker |
| SW18022 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniels Harbor Therapy Center LLC | Clinical | Current | Accepting new patients |
| Escambia Community Clinics Inc | Current | Accepting new patients | |
| Escambia Community Clinics, Inc | Current | Accepting new patients | |
| Escambia Community Clinics Inc | Current | Accepting new patients |
Locations
5520 Stewart St
Milton, FL 32570
Phone (850) 891-9433
1754 Sea Lark Ln
Navarre, FL 32566
Phone (850) 780-3496
1380 N Palafox St
Pensacola, FL 32501
Phone (850) 512-1430
2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Navarre, FL
- NPI 1366000416
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1518971597
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1841487634
-
dba Pine Forest High School
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1629789466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1548893001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 W JACKSON ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325057552",
"telephone_number": "850-436-4630",
"fax_number": "850-436-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 W JACKSON ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325057552",
"telephone_number": "850-436-4630",
"fax_number": "850-436-2095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SYMIKA",
"middle_name": "L.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-12",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW8977",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW18022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "5OVGZ",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.