Jesse Owen Taylor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9731 Issued in FL

Practice address

1536 North Jefferson Street
VA Jacksonville Opc Mental Health
Jacksonville, FL 32209

Phone

(707) 995-7201

NPI assigned

Nov 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1811299779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 BAYSHORE BLVD",
            "address_2": "UNIT # 1803",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297351",
            "telephone_number": "813-731-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 NORTH JEFFERSON STREET",
            "address_2": "VA JACKSONVILLE OPC MENTAL HEALTH",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "707-995-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JESSE",
        "middle_name": "OWEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-29",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genna Taylor
• J'Kera Taylor
• Jamekka Taylor
• Jasmine Taylor
• Jeremy Taylor, MD
• Jori Marisa Larson Taylor, APRN
• Joshua David Taylor
• Karyn Denise Taylor, PA-C, AA-C
• Katelyn Bailey Taylor, PA-C
• Kelly Taylor, OTR/L

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.