Active NPI
Gregory Scott Taylor, LCSW
- Social Worker
- Port St Lucie, FL
National Provider Identifier
1720163983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW830
- Practice address
- 1874 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5545 - Phone
- (772) 337-7676
- Fax
- (772) 337-9034
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW830 | FL | Primary |
Addresses
Primary practice location
1874 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5545
Mailing address
1874 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5545
Phone (772) 337-7676
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z154G | Other | FL | FLORIDA BCBS |
| AK132Z | Other | FL | FLORIDA MEDICARE MFAA-COASTAL PAIN LINKED TO 33576B |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW830 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1720163983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1874 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525545",
"telephone_number": "772-337-7676",
"fax_number": "772-337-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1874 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525545",
"telephone_number": "772-337-7676",
"fax_number": "772-337-9034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "GREGORY",
"middle_name": "SCOTT",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "SW830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BCBS",
"identifier": "Z154G",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICARE MFAA-COASTAL PAIN LINKED TO 33576B",
"identifier": "AK132Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.