Andreya Marie Taylor, LCSW, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-39111 Issued in MT

Practice address

130 4TH Ave Apt 4
Havre, MT 59501-3661

Phone

(409) 350-8973

NPI assigned

May 10, 2020

Last updated

Jun 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 6, 2025 through May 6, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Well Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clemson, SC
  • NPI 1457845299
  NPD (past)

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

{
    "created_epoch": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1699397968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201A S TOWNVILLE ST",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296783421",
            "telephone_number": "409-350-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 4TH AVE APT 4",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013661",
            "telephone_number": "409-350-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANDREYA",
        "middle_name": "MARIE",
        "credential": "LCSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-10",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "13584",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-39111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna M Streit, PA-C
• Gary Stremcha, OD
• Sweet Grass Anesthesia PC
• Lars Monson Swensen, DMD
• Robert Eric Tate, MS, LAT, ATC
• Samantha J Thompson, APRN
• Erin Thorsen, CCC-SLP
• Patrick A Thorsen, PHARMD
• Town Taxi, Inc.
• Janet M Trethewey, ED.D., ATC

• Clinical Social Worker in Havre, MT
• Providers in Havre, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.