Bianca Katalina Crystal Taylor

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW96135 Issued in CA

Practice address

310 James Way Ste 150
Pismo Beach, CA 93449-2877

Phone

(805) 206-3354

NPI assigned

Sep 10, 2015

Reactivated

May 10, 2022

Last updated

Jun 3, 2025By 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 1

Addresses

Other names 1

• Bianca Katalina Crystal Rodriguez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1700254463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 JAMES WAY STE 150",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492877",
            "telephone_number": "805-206-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 JAMES WAY STE 150",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492877",
            "telephone_number": "805-206-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BIANCA",
        "middle_name": "KATALINA CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "deactivation_date": "2022-04-05",
        "reactivation_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW96135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "RODRIGUEZ",
            "middle_name": "KATALINA CRYSTAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.