Mark Taylor, M.S.W., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09925777 Issued in CO

Practice address

19501 E Mainstreet Ste 200
Parker, CO 80138-7408

Phone

(720) 281-8615

Fax

(720) 222-5168

NPI assigned

Aug 31, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Square Peg Therapies, LLC

  • Occupational Therapist
  • Parker, CO
  • NPI 1730786898
  NPD

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1801029434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19501 E MAINSTREET",
            "address_2": "STE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387408",
            "telephone_number": "720-281-8615",
            "fax_number": "720-222-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19501 E MAINSTREET STE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387408",
            "telephone_number": "720-281-8615",
            "fax_number": "720-222-5168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42020 Village Center Plz Ste 120",
            "address_purpose": "LOCATION",
            "city": "Stone Ridge",
            "state": "VA",
            "postal_code": "201053030",
            "country_code": "US",
            "telephone_number": "720-281-8615",
            "fax_number": "720-222-5168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARK",
        "credential": "M.S.W., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-31",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008418",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Taras, MS CCC-SLP
• John Robert Tarr, M.D.
• Olga Tatarko, DDS
• Mary Catherine Tate, NBHWC
• Christine Crosby Taylor, LPC
• Sara Taylor, OD
• Tbi Colorado
• Addison Brooke Tedford, OD
• Telehealth Primary Care,Weight Loss, Diabetes, Behavioral Health, LLC
• Michael D Temple, CRNA

• All providers in Parker, CO
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.