Scott Micheal Taylor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

218824 Issued in AK

Practice address

1981 E Palmer Wasilla Hwy Ste 235
Wasilla, AK 99654-7289

Phone

(907) 759-7447

NPI assigned

Mar 18, 2022

Last updated

Jan 7, 2025By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inner Horizons Incorporated

  • Community/Behavioral Health Agency
  • Wasilla, AK
  • NPI 1962245217
  NPD Authorized official

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1811646813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N CHARLEY DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996544329",
            "telephone_number": "907-759-7447",
            "fax_number": "201-474-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 E PALMER WASILLA HWY STE 235",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547289",
            "telephone_number": "907-759-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SCOTT",
        "middle_name": "MICHEAL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "218824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ines Taylor, ARNP/FNP
• Joan Taylor
• Karie Marie Taylor
• Kristen Marie Taylor
• Paris Taylor, LCSW-C
• Staci Taylor
• Trisha Taylor, DMD
• Traci Teeling
• Sydney Tenboer
• Michele K Tennis

• Clinical Social Worker in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.