Active NPI
Taylor N Hubbard
- Clinical Social Worker
- Hauppauge, NY
National Provider Identifier
1770138828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 124703
- Practice address
- 125 Kennedy Dr Ste 200
Hauppauge, NY 11788-4017 - Phone
- (631) 665-2300
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | 124703 | NY | Primary |
Addresses
Primary practice location
125 Kennedy Dr Ste 200
Hauppauge, NY 11788-4017
Mailing address
50 Cassa Loop
Holtsville, NY 11742-2613
Phone (806) 881-8021
Other practice location 1
2400 S 48th St
Springdale, AR 72762-6683
Phone (479) 750-2020
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1770138828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CASSA LOOP",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117422613",
"telephone_number": "806-881-8021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 KENNEDY DR STE 200",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884017",
"telephone_number": "631-665-2300"
}
],
"practiceLocations": [
{
"address_1": "2400 S 48th St",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "727626683",
"country_code": "US",
"telephone_number": "479-750-2020",
"fax_number": "479-750-4843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBBARD",
"first_name": "TAYLOR",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "124703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.