Tyler Sanelle Taylor, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0904011823 Issued in VA

Practice address

7400 Beaufont Springs Dr Ste 300
North Chesterfield, VA 23225-5519

Phone

(804) 774-7063

Fax

(804) 487-8097

NPI assigned

Feb 6, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Stellar Clinic CT PLLC

  • Mental Health Counselor
  • Detroit, MI
  • NPI 1609641042

  VA

  Medicare reassignment

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1669004776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 BEAUFONT SPRINGS DR STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255519",
            "telephone_number": "804-774-7063",
            "fax_number": "804-487-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BEAUFONT SPRINGS DR STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255519",
            "telephone_number": "804-774-7063",
            "fax_number": "804-487-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TYLER",
        "middle_name": "SANELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904011823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakiara S Taylor
• Mackenzie Ryan Taylor
• Natalie Jones Taylor
• Richard C. Taylor, M.D.
• Tanika Taylor
• Vernice J Taylor, D.C.
• Taylormade Mental Health Solutions
• Teamwork Nutrition and Consulting, LLC
• Misker N Tegegn Sr.
• Tender Hands of Care Transportation

• Social Worker in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.