Active NPI
Lamont T Brown Taylor
Doing business as Full Advocate BHS
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1720262991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-011481
- Legal business name
- LAMONT T BROWN TAYLOR
- Doing business as
- Full Advocate BHS
- Practice address
- 10540 S Western Ave
Suite 402
Chicago, IL 60643-2529 - Phone
- (773) 509-5055
- Fax
- (773) 509-5010
- NPI assigned
- Dec 24, 2007
- Last updated
- Oct 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lamont Theolonus Taylor, DSW
- Title
- License Clinical Social Worker
- Phone
- (773) 509-5055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 149-011481 | IL | |
| Mental Health Counselor | 101YM0800X | 149-011481 | IL | |
| Social Worker | 104100000X | 149-011481 | IL | |
| Clinical Social Worker | 1041C0700X | 149-011481 | IL | Primary |
Addresses
Primary practice location
10540 S Western Ave
Suite 402
Chicago, IL 60643-2529
Mailing address
PO Box 490645
Chicago, IL 60649-0645
Phone (773) 509-5055
Other names 1
- Full Advocate BHS
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1124041199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477612800000",
"number": "1720262991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490645",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606490645",
"telephone_number": "773-509-5055",
"fax_number": "773-509-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10540 S WESTERN AVE",
"address_2": "SUITE 402",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606432529",
"telephone_number": "773-509-5055",
"fax_number": "773-509-5010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAMONT T BROWN TAYLOR",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2016-10-28",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "LAMONT",
"authorized_official_middle_name": "THEOLONUS",
"authorized_official_title_or_position": "LICENSE CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "773-509-5055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DSW"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "149-011481",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "149-011481",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149-011481",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-011481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Full Advocate BHS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.