Active NPI
Skyler Elle Taylor, LCSW
- Clinical Social Worker
- Concord, NC
National Provider Identifier
1790483162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C016939
- Practice address
- 11 Union St S Ste 200
Concord, NC 28025-5098 - Phone
- (704) 918-9741
- NPI assigned
- Feb 15, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11907574-3501 | UT | |
| Clinical Social Worker | 1041C0700X | C016939 | NC | Primary |
Addresses
Primary practice location
11 Union St S Ste 200
Concord, NC 28025-5098
Mailing address
11 Union St S Ste 200
Concord, NC 28025-5098
Phone (704) 918-9741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C016939 | NC | MD | Clinical Social Worker |
| 11907574-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victory Family Counseling | Clinical | Current | Accepting new patients |
Locations
11 Union St S
Ste 200
Concord, NC 28025
Phone (704) 918-9315
11 Union St S
Ste 206
Concord, NC 28025
Phone (704) 918-9741
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.
-
- Clinical Social Worker
- Concord, NC
- NPI 1063000610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1790483162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 UNION ST S STE 200",
"city": "CONCORD",
"state": "NC",
"postal_code": "280255098",
"telephone_number": "704-918-9741",
"fax_number": "704-270-6213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 UNION ST S STE 200",
"city": "CONCORD",
"state": "NC",
"postal_code": "280255098",
"telephone_number": "704-918-9741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SKYLER",
"middle_name": "ELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "11907574-3501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C016939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.