Individual provider Active NPI

Ann Margaret Taylor, MSW, LCSW

  • Clinical Social Worker
  • Patterson, CA
National Provider Identifier
1760719223
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS25402 Issued in CA
Practice address
26 S 3Rd St
Suite E
Patterson, CA 95363-2509
Phone
(951) 956-1191
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS25402 CA Primary
Mental Health Counselor 101YM0800X LCS25402 CA
Social Worker 104100000X LCS25402 CA

Addresses

Primary practice location

26 S 3Rd St
Suite E
Patterson, CA 95363-2509

Mailing address

355 W Las Palmas Ave Ste a
Patterson, CA 95363-2552
Phone (209) 895-3329

Other identifiers 1

IdentifierTypeStateIssuer
534686MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20110729000391 CA Practitioner - Clinical Social Worker 6305014747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Plaza
Suite B
Patterson, CA 95363-2554

11 Plaza Circle
Suite B
Patterson, CA 95363-2554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS25402CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Designs, Inc Clinical CurrentSince Aug 16, 2018 Accepting new patients

Locations

355 W Las Palmas Ave
Ste A
Patterson, CA 95363

355 W Las Palmas Ave
Patterson, CA 95363
Phone (209) 895-3329

11 Plaza
Ste B
Patterson, CA 95363
Phone (209) 895-3329

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1760719223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W LAS PALMAS AVE STE A",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632552",
            "telephone_number": "209-895-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S 3RD ST",
            "address_2": "SUITE E",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632509",
            "telephone_number": "951-956-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANN",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS25402",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS25402",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS25402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "534686",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

Verify at the official NPI Registry.