Individual provider Active NPI

Carol H Taylor, LCSW

  • Clinical Social Worker
  • Sugar Hill, GA
National Provider Identifier
1699019703
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003909 Issued in GA
Practice address
1400 Buford Hwy Ste G7
Sugar Hill, GA 30518-8727
Phone
(229) 251-2391
Fax
(678) 228-1977
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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 CSW003909 GA Primary

Addresses

Primary practice location

1400 Buford Hwy Ste G7
Sugar Hill, GA 30518-8727

Mailing address

1400 Buford Hwy Ste G7
Sugar Hill, GA 30518-8727
Phone (229) 251-2391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20140415000293 GA Practitioner - Clinical Social Worker 6103058722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 Buford Hwy
Suite G7
Buford, GA 30518-8727
Phone (229) 251-2391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW003909GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Family Counseling Clinical CurrentSince Oct 24, 2017 Accepting new patients
Psychiatry and Psychological Associates LLC CurrentSince Jan 23, 2014 Accepting new patients

Locations

705 Jesse Jewell Pkwy SE
Ste 175
Gainesville, GA 30501
Phone (770) 718-9790

500 Jesse Jewell Pkwy SE
Ste 207
Gainesville, GA 30501
Phone (770) 718-9790

1400 Buford Hwy
Ste G7
Sugar Hill, GA 30518
Phone (229) 251-2391

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1699019703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BUFORD HWY STE G7",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305188727",
            "telephone_number": "229-251-2391",
            "fax_number": "678-228-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BUFORD HWY STE G7",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305188727",
            "telephone_number": "229-251-2391",
            "fax_number": "678-228-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CAROL",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Hill, GA

Sources for this page

Verify at the official NPI Registry.