Individual provider Active NPI

Taylor Carter, LCSW

  • Social Worker
  • Waukesha, WI
National Provider Identifier
1801653928
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11633 Issued in WI
Practice address
707 W Moreland Blvd Ste 7
Waukesha, WI 53188-2400
Phone
(262) 217-0002
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11633 WI Primary

Addresses

Primary practice location

707 W Moreland Blvd Ste 7
Waukesha, WI 53188-2400

Mailing address

N83W15861 Steven Mack Cir
Menomonee Falls, WI 53051-7601
Phone (920) 419-6984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240503000990 WI Practitioner - Clinical Social Worker 4587004874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11633WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Mar 14, 2024 Accepting new patients

Locations

707 W Moreland Blvd
Ste 7
Waukesha, WI 53188
Phone (262) 217-0002

26422 Oakridge Dr
Ste 106
Wind Lake, WI 53185

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1801653928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N83W15861 STEVEN MACK CIR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530517601",
            "telephone_number": "920-419-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W MORELAND BLVD STE 7",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882400",
            "telephone_number": "262-217-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TAYLOR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "11633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.