Dorothy Taylor
Individual provider Active NPI Clinical Social Worker · Seymore Johnson Air Force Base, NC
NPI 1821499427 · NPPES record last updated Feb 28, 2025
Key facts
- NPI
- 1821499427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C016903 (NC)
- Practice address
- 4TH MDG
2803 Medical Campus Drive
Seymore Johnson Air Force Base, NC 27531 - Phone
- (919) 722-8775
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW09928015 | CO | MD | Clinical Social Worker |
| C016903 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | CSW09928015 | CO | |
| Clinical Social Worker | 1041C0700X | C016903 | NC | Yes |
Addresses
Primary practice location
4TH MDG
2803 Medical Campus Drive
Seymore Johnson Air Force Base, NC 27531
Mailing address
4TH MDG
2803 Medical Campus Drive
Seymore Johnson Air Force Base, NC 27531
Phone (919) 722-8775
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C016903 | Other | NC | LICENSE CLINICAL SOCIAL WORKER |
| CSW09928015 | Other | CO | LICENSE CLINICAL SOCIAL WORKER |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.