Erin Nicole Taylor, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33009560A Issued in IN

Practice address

302 S Kitchell Ave Ste B
Olney, IL 62450-1500

Phone

(618) 354-0878

NPI assigned

Oct 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Living Well Counseling and Therapy Solutions

  • Community/Behavioral Health Agency
  • Olney, IL
  • NPI 1679007603
  NPD (past)

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1558025817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S KITCHELL AVE STE B",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624501500",
            "telephone_number": "618-308-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S KITCHELL AVE STE B",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624501500",
            "telephone_number": "618-354-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ERIN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "33009560A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy John Sullens
• Arcot D Suresh, MD
• Paul W Sutherland, MD
• Heather E Tait
• Lisa Tarpley, MS, NCC
• James D Thomas, RT (R)
• Tonya Thomas
• Jane Thompson-Smith
• Audra Sue Thompson
• Mackenzie Thompson

• Clinical Social Worker in Olney, IL
• Providers in Olney, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.