Taylor Jefferson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06292300 Issued in NJ

Practice address

71 Village Green Way
Hazlet, NJ 07730-1221

Phone

(908) 601-9529

NPI assigned

Mar 5, 2024

Sex

Female

Sole proprietor

Yes

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1831956879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 VILLAGE GREEN WAY",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301221",
            "telephone_number": "908-601-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 VILLAGE GREEN WAY",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301221",
            "telephone_number": "908-601-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "TAYLOR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06292300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intuitive Behavioral, Inc
• Omobukola Olayiwade Itua, RVT
• Gail Jackapino, RPH
• Gerald Jackapino, RPH
• Asha Jain, M.D.
• Jeffrey S. Sachs, D.M.D., P.C.
• Jersey Shore Bethany Pediatrics
• John J Starke M D P a
• John V. Figurelli Chiropractic, LLC
• Joseph a Sarnelle, MD, PC

• Clinical Social Worker in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.