Active NPI
Taylor Tate
- Clinical Social Worker
- Fort Myers, FL
National Provider Identifier
1851251714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25298
- Practice address
- 2734 Oak Ridge CT Ste 404
Fort Myers, FL 33901-9369 - Phone
- (239) 963-4367
- NPI assigned
- Nov 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 64614 | TX | |
| Clinical Social Worker | 1041C0700X | 25298 | FL | Primary |
Addresses
Primary practice location
2734 Oak Ridge CT Ste 404
Fort Myers, FL 33901-9369
Mailing address
11716 Mahogany Run
Fort Myers, FL 33913-8304
Phone (254) 424-6592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64614 | TX | MD | Clinical Social Worker |
| 25298 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1851251714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11716 MAHOGANY RUN",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339138304",
"telephone_number": "254-424-6592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2734 OAK RIDGE CT STE 404",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019369",
"telephone_number": "239-963-4367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-13",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "64614",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "25298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.