Individual provider Active NPI

Dana Taylor, LCSW

  • Clinical Social Worker
  • Festus, MO
National Provider Identifier
1700250602
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017042410 Issued in MO
Practice address
807 Collins Dr
Festus, MO 63028-2346
Phone
(636) 931-4206
Fax
(636) 931-5774
NPI assigned
Nov 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2015022650 MO
Clinical Social Worker 1041C0700X 2017042410 MO Primary

Addresses

Primary practice location

807 Collins Dr
Festus, MO 63028-2346

Mailing address

1314 Riverwoods TRL
Ste Genevieve, MO 63670-2001
Phone (573) 517-3119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240329001562 MO Practitioner - Clinical Social Worker 2769820513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Services IncGroup PAC ID 8820074297, 8 clinicians

Practice addresses (Care Compare)

807 Collins Dr
Festus, MO 63028-2346
Phone (636) 931-4206

807 Collins Rd
Festus, MO 63028-2346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015022650MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Services Inc CurrentSince Mar 8, 2024 Accepting new patients
Advanced Psychiatric Services Past Accepting new patients

Locations

807 Collins Dr
Festus, MO 63028
Phone (636) 931-4206

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1700250602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 RIVERWOODS TRL",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636702001",
            "telephone_number": "573-517-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 COLLINS DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282346",
            "telephone_number": "636-931-4206",
            "fax_number": "636-931-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2015022650",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017042410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.