Andrea Taylor, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

059273-1 Issued in NY

Practice address

124 Harbor S
Amityville, NY 11701-3824

Phone

(516) 983-6867

NPI assigned

Mar 24, 2023

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

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1558064998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E SHORE DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586714",
            "telephone_number": "516-983-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HARBOR S",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013824",
            "telephone_number": "516-983-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANDREA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "059273-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherese Tonette Sweeney, D.D.S.
• Nafisa Syed
• Patricia Tague
• Carmen Talalay, AU.D., CCC-A
• Christine Tamke, RBT
• Eileen Mary Taylor, D.C.
• Terapro. Care
• The Long Island Home
• The Long Island Home
• The Long Island Home

• Clinical Social Worker in Amityville, NY
• Providers in Amityville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.