Individual provider Active NPI

Kristi Laree Taylor-Sayles, LICSW, LWCW-C

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1740018290
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24718 Issued in MD
Practice address
9684 Kanfer CT
Gaithersburg, MD 20886-5067
Phone
(703) 473-1305
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50079623 DC
Clinical Social Worker 1041C0700X 24718 MD Primary

Addresses

Primary practice location

9684 Kanfer CT
Gaithersburg, MD 20886-5067

Mailing address

9684 Kanfer CT
Gaithersburg, MD 20886-5067
Phone (703) 473-1305

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

LicenseStateTypeSpecialty
LC50079623DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1740018290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9684 KANFER CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208865067",
            "telephone_number": "703-473-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9684 KANFER CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208865067",
            "telephone_number": "703-473-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-SAYLES",
        "first_name": "KRISTI",
        "middle_name": "LAREE",
        "credential": "LICSW, LWCW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079623",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.