Active NPI
Tayler Stroup, LSW
- Social Worker
- Middletown, OH
National Provider Identifier
1902226475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1502499
- Practice address
- 1659 S Breiel Blvd
Middletown, OH 45044-6705 - Phone
- (513) 424-0921
- NPI assigned
- Apr 23, 2014
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1502499 | OH | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1659 S Breiel Blvd
Middletown, OH 45044-6705
Mailing address
1659 S Breiel Blvd
Middletown, OH 45044-6705
Phone (513) 424-0921
Other practice location 1
722 Scott St
Covington, KY 41011-2418
Phone (859) 331-3292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610661458 | Other | KY | TAX ID |
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 |
|---|---|---|---|
| S.1502499 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Mental Health Mental Retardation Regional Board | Past | Accepting new patients |
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.
-
- Psychiatric Hospital
- Covington, KY
- NPI 1679775514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902226475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1659 S BREIEL BLVD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450446705",
"telephone_number": "513-424-0921",
"fax_number": "513-424-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1659 S BREIEL BLVD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450446705",
"telephone_number": "513-424-0921"
}
],
"practiceLocations": [
{
"address_1": "722 Scott St",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "KY",
"postal_code": "410112418",
"country_code": "US",
"telephone_number": "859-331-3292",
"fax_number": "859-578-2864",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STROUP",
"first_name": "TAYLER",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1502499",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "610661458",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.