Individual provider Active NPI

Taylor L. Guthrie, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1588032619
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
72521 Issued in CA
Practice address
150 UCLA Medical PLZ
Suite 4238F
Los Angeles, CA 90095-1718
Phone
(310) 267-9193
NPI assigned
Sep 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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 72521 CA Primary

Addresses

Primary practice location

150 UCLA Medical PLZ
Suite 4238F
Los Angeles, CA 90095-1718

Mailing address

150 UCLA Medical PLZ
Suite 4238F
Los Angeles, CA 90095-1718
Phone (310) 267-9193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815002040 NJ Practitioner - Clinical Social Worker 3577001007 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72521CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC CurrentSince Jul 1, 2024 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

61 Veronica Ave
Somerset, NJ 08873
Phone (732) 679-4500

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1441497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1588032619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 UCLA MEDICAL PLZ",
            "address_2": "SUITE 4238F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951718",
            "telephone_number": "310-267-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 UCLA MEDICAL PLZ",
            "address_2": "SUITE 4238F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951718",
            "telephone_number": "310-267-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "TAYLOR",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-06",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "72521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.