Andrea Darlene Taylor, LCSW, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2016033200 Issued in MO

Practice address

12138 Mackey St
Overland Park, KS 66213-1277

Phone

(636) 345-0707

NPI assigned

Jan 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1811707706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12138 MACKEY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131277",
            "telephone_number": "636-345-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12138 MACKEY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131277",
            "telephone_number": "636-345-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANDREA",
        "middle_name": "DARLENE",
        "credential": "LCSW, LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05458",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2016033200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheree Tate, CRNA
• Jason Blake Tate
• Richard Tauscher, L.M.T.
• Tav Home Health LLC
• Cina Tavanaei, DO
• Ava Kathryn Taylor
• Brooke Taylor, COTA
• Dalton Taylor
• Elizabeth Taylor, MS, BCBA
• Emma Taylor, RBT

• Clinical Social Worker in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.