Christine M Taylor, MSW, LCSW, CSAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8871-123 Issued in WI

Practice address

2987 Yarmouth Greenway Dr Ste 200
Fitchburg, WI 53711-5852

Phone

(608) 630-8889

Fax

(608) 200-7268

NPI assigned

Feb 23, 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 WI

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.

• Madison Psychotherapy and Wellness LLC

  • Clinical Social Worker
  • Madison, WI
  • NPI 1760115653
  Medicare reassignment NPD
• Heart Space LLC

  • Clinical Social Worker
  • Madison, WI
  • NPI 1437008265
  NPD Authorized official

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1679965024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2987 YARMOUTH GREENWAY DR STE 200",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115852",
            "telephone_number": "608-630-8889",
            "fax_number": "608-200-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2987 YARMOUTH GREENWAY DR STE 200",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115852",
            "telephone_number": "608-630-8889",
            "fax_number": "608-200-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "MSW, LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8871-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Louise Svetnicka, APNP
• Kayla Swanson, LPC
• Symetria Health of Wisconsin, L.L.C.
• Linda Szalkucki
• Christine Tam
• Andrew Teduits, DDS
• Eric Anthony Teduits, D.D.S.,M.S.
• Dorothy N Tembei, RN
• Temenos Psychology LLC
• Taylor Rae Temple

• Clinical Social Worker in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.