Individual provider Active NPI

Jean B Taylor, LCSW

  • Clinical Social Worker
  • Pacifica, CA
National Provider Identifier
1669460523
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 006425 Issued in CA
Practice address
450 Dondee St
Suite #9
Pacifica, CA 94044-3056
Phone
(650) 738-9550
Fax
(650) 738-9567
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 LCS 006425 CA Primary

Addresses

Primary practice location

450 Dondee St
Suite #9
Pacifica, CA 94044-3056

Mailing address

450 Dondee St
Suite #9
Pacifica, CA 94044-3056
Phone (650) 738-9550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 006425CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669460523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 DONDEE ST",
            "address_2": "SUITE #9",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443056",
            "telephone_number": "650-738-9550",
            "fax_number": "650-738-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 DONDEE ST",
            "address_2": "SUITE #9",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443056",
            "telephone_number": "650-738-9550",
            "fax_number": "650-738-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEAN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 006425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacifica, CA

Sources for this page

Verify at the official NPI Registry.