Tina M Taylor, LCSW, LMFT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1501 Issued in KY

Practice address

9709 Forestwood Dr
Louisville, KY 40299-7403

Phone

(502) 797-0936

Fax

(502) 749-9224

NPI assigned

Feb 16, 2011

Last updated

Feb 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• New Hope Counseling

  • Adult Mental Health Clinic/Center
  • Louisville, KY
  • NPI 1952883621
  Medicare reassignment NPD Authorized official
• Solutions Counseling Center LLLP

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1972101368
  NPD
• Bridgehaven, Inc.

  • Adult Mental Health Clinic/Center
  • Louisville, KY
  • NPI 1093823817
  NPD (past)
• US Psychiatry PLLC

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1902255359
  NPD (past)

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1871890533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 FORESTWOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402997403",
            "telephone_number": "502-797-0936",
            "fax_number": "502-749-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9709 FORESTWOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402997403",
            "telephone_number": "502-797-0936",
            "fax_number": "502-749-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0600032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamika L Taylor
• Stephanie Taylor, DPT
• Stephen Michael Taylor, MD
• Tammala Taylor
• Tanika R Taylor, MD
• Tracey Taylor, MFTA
• Victoria Taylor, PHARMD
• TBD Acquisition LLC (Ten Broeck Dupont)
• TBD Acquisition, LLC (The Brook Hospital Dupont)
• TBS Dental PLLC

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.