Individual provider Active NPI

Suzan Thompson Taylor, MSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1780739094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1333 Issued in FL
Practice address
2065 Delta Way
Suite 1
Tallahassee, FL 32303-4227
Phone
(850) 656-1822
Fax
(850) 656-2905
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW1333 FL Primary

Addresses

Primary practice location

2065 Delta Way
Suite 1
Tallahassee, FL 32303-4227

Mailing address

2065 Delta Way
Suite 1
Tallahassee, FL 32303-4227
Phone (850) 656-1822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060418000373 FL Practitioner - Clinical Social Worker 9234148388 Practice locations: Tallahassee, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2065 Delta Way
Suite 1
Tallahassee, FL 32303-4227
Phone (850) 656-1822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW1333FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Tierney, LCSW, LLC Past Accepting new patients

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780739094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 DELTA WAY",
            "address_2": "SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034227",
            "telephone_number": "850-656-1822",
            "fax_number": "850-656-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 DELTA WAY",
            "address_2": "SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034227",
            "telephone_number": "850-656-1822",
            "fax_number": "850-656-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SUZAN",
        "middle_name": "THOMPSON",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.