Active NPI
Taylor Marie Phelps-Whitley, LSW
- Social Worker
- Lebanon, OH
National Provider Identifier
1700265188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S1500912
- Practice address
- 1879 Deerfield Rd
Lebanon, OH 45036-9946 - Phone
- (513) 695-2900
- Fax
- (513) 695-2961
- NPI assigned
- May 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | S1500912 | OH | |
| Social Worker | 104100000X | S1500912 | OH | Primary |
Addresses
Primary practice location
1879 Deerfield Rd
Lebanon, OH 45036-9946
Mailing address
1879 Deerfield Rd
Lebanon, OH 45036-9946
Phone (513) 695-2900
Other practice location 1
600 Wayne Ave
Dayton, OH 45410
Phone (937) 496-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0281171 | Medicaid | OH |
Other names 1
- Mrs. Taylor Maire Phelps
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1500912 | OH | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1700265188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1879 DEERFIELD RD",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369946",
"telephone_number": "513-695-2900",
"fax_number": "513-695-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1879 DEERFIELD RD",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369946",
"telephone_number": "513-695-2900",
"fax_number": "513-695-2961"
}
],
"practiceLocations": [
{
"address_1": "600 Wayne Ave",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "45410",
"country_code": "US",
"telephone_number": "937-496-2000",
"fax_number": "937-463-2958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHELPS-WHITLEY",
"first_name": "TAYLOR",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "S1500912",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S1500912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0281171",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "PHELPS",
"middle_name": "MAIRE",
"prefix": "MRS.",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.