Individual provider Active NPI

Noni Ife Taylor, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1891565289
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012394 Issued in DE
Practice address
1500 Shallcross Ave RM 4
Wilmington, DE 19806-3037
Phone
(302) 635-0307
NPI assigned
Jan 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0012394 DE Primary

Addresses

Primary practice location

1500 Shallcross Ave RM 4
Wilmington, DE 19806-3037

Mailing address

800 N King St Ste 304
Wilmington, DE 19801-3549
Phone (302) 365-0409

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

LicenseStateTypeSpecialty
Q1-0012394DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Minds & Hearts LLC Clinical CurrentSince Jan 19, 2025 Accepting new patients

Locations

800 N King St
Ste 304
Wilmington, DE 19801
Phone (305) 482-1494

1500 Shallcross Ave
Rm 4
Wilmington, DE 19806
Phone (302) 635-0307

Organizations & group practices 1

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": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1891565289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N KING ST STE 304",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198013549",
            "telephone_number": "302-365-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHALLCROSS AVE RM 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063037",
            "telephone_number": "302-635-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NONI",
        "middle_name": "IFE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

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

Verify at the official NPI Registry.