Individual provider Active NPI

Robert Taylor, LCSW, LADC, CCS

  • Clinical Social Worker
  • South Portland, ME
National Provider Identifier
1871221101
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC23784 Issued in ME
Practice address
145 Settler Rd
South Portland, ME 04106-4046
Phone
(207) 370-5458
NPI assigned
Aug 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X LC8168 ME
Clinical Social Worker 1041C0700X LC23784 ME Primary

Addresses

Primary practice location

145 Settler Rd
South Portland, ME 04106-4046

Mailing address

145 Settler Rd
South Portland, ME 04106-4046
Phone (978) 398-1728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822001092 ME Practitioner - Clinical Social Worker 5890234827 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC8168MEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bishop Medical Group LLC Single Specialty CurrentSince Jul 17, 2024 Accepting new patients
Mental Health Specialty Group PA Single Specialty CurrentSince May 1, 2025 Accepting new patients
Taylormade Counseling LLC Clinical PastSince Aug 1, 2022 Accepting new patients
Bishop Health, LLC PastSince Aug 6, 2023 Accepting new patients

Locations

400 Congress St
Portland, ME 04101
Phone (678) 508-1130

1250 Forest Ave
Ste 201
Portland, ME 04103
Phone (207) 910-6580

100 Gannett Dr
Ste B
South Portland, ME 04106
Phone (207) 742-8558

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1871221101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SETTLER RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064046",
            "telephone_number": "978-398-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SETTLER RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064046",
            "telephone_number": "207-370-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ROBERT",
        "credential": "LCSW, LADC, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-14",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC8168",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC23784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.