Thomas Scott Taylor, LCSWR, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074695R Issued in NY

Practice address

2504 Broadway
C/O Advent Lutheran Church
New York, NY 10025-6949

Phone

(917) 886-6399

Fax

(212) 924-6135

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Lutheran Pastoral Counseling Ministry Inc

  • Community/Behavioral Health Agency
  • Mineola, NY
  • NPI 1083759146
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1710014535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 HUDSON ST APT 213",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143647",
            "telephone_number": "917-886-6399",
            "fax_number": "212-924-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 BROADWAY",
            "address_2": "C/O ADVENT LUTHERAN CHURCH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256949",
            "telephone_number": "917-886-6399",
            "fax_number": "212-924-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "THOMAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "LCSWR, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074695R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LCSWR LICENSE #",
            "identifier": "074695R",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shenelle Catina Taylor, M.S.CCC-SLP
• Shirlee Taylor, PH.D.
• Steven Taylor
• Stuart William Taylor, MD
• Taqueena Taylor
• Victoria Taylor, PA-C
• Walter Monroe Taylor III
• Leslie Z Taynor, DDS
• Taz Footcare, PC
• TC Acupuncture Service PC

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.