Sophia Taylor-Edwards

Primary specialty

Social WorkerTaxonomy code 104100000X

License

001062 Issued in CT

Practice address

880 Asylum Ave
Hartford, CT 06105

Phone

(860) 614-1888

NPI assigned

Jul 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Practice roles

Locations

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.

• Community Health Resources, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Windsor, CT
  • NPI 1215979810
  Medicare reassignment NPD
• Circles of Transformation LLC

  • Clinical Social Worker
  • Hartford, CT
  • NPI 1356000723
  NPD Authorized official
• Community Health Resources, Inc.

  • Adult Mental Health Clinic/Center
  • Windsor, CT
  • NPI 1295800795
  NPD

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1679957070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 ASYLUM AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051902",
            "telephone_number": "860-614-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 ASYLUM AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-614-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-EDWARDS",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011054",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "001062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saachi Kumar Tarr, MD
• Lana Tarraf Koujock, MD
• Sage Victoria Tatro, PA-C
• David Joseph Tavella, PHARMD, MBA, RPH
• Alvaro Taveraz Franco, MD
• Kathy Ann Taylor, LPC
• Stephanie Taylor, APRN
• Marissa Teachman, MS, RD, CDN
• Taylor Shae Teasley
• Joanne Tedford

• Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.