Tyldesley Anne Taylor Hepworth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

70991 Issued in CA

Practice address

30300 Camino Capistrano
San Juan Capistrano, CA 92675-1304

Phone

(949) 240-2030

NPI assigned

Oct 18, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tyldesley Anne Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Camino Health Center

  • Federally Qualified Health Center (FQHC)
  • Lake Forest, CA
  • NPI 1194274811
  NPD (past)
• Camino Health Center

  • Community Health Clinic/Center
  • San Clemente, CA
  • NPI 1538549449
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740791649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30300 CAMINO CAPISTRANO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751304",
            "telephone_number": "949-240-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30300 CAMINO CAPISTRANO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751304",
            "telephone_number": "949-240-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 Avenida Pico Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926736355",
            "country_code": "US",
            "telephone_number": "949-240-2030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22481 Aspan St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926301648",
            "country_code": "US",
            "telephone_number": "949-240-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEPWORTH",
        "first_name": "TYLDESLEY",
        "middle_name": "ANNE TAYLOR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55688",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLDESLEY",
            "last_name": "TAYLOR",
            "middle_name": "ANNE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph G. Heinrich, O.D.
• Help Rehab Inc
• Beverly R Hendrickson, MD
• Hannah Henigman
• Katie Henry, RD
• Anahi Hernandez
• Grace Elizabeth Hernandez, PT
• Johnny Hernandez
• Ricardo Hernandez Jr., PT DPT
• Richard B Hernandez, MD

• Clinical Social Worker in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.