Terrie Kristina Taylor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007470 Issued in NC

Practice address

430 Queens Rd Apt 521
Charlotte, NC 28207-1455

Phone

(919) 818-2877

NPI assigned

Feb 9, 2021

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

Electronic endpoints 1

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1861084022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 QUEENS RD APT 521",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071455",
            "telephone_number": "919-818-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 QUEENS RD APT 521",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071455",
            "telephone_number": "919-818-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TERRIE",
        "middle_name": "KRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CHHS6SHFN52WLT",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "430 Queens Rd Apt 521",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282071455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Leann Taylor
• Savannah Rae Taylor, PA-C
• Stacie L Taylor, OT
• Sydney Mary Taylor, MD
• Tatyana Taylor
• Tracie J. Taylor, LCSW
• Valerie Denise Taylor, PA
• Victoria Taylor
• William Barton Taylor, M.D.
• Zachary M. Taylor, DC

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.