Amy Joann Taylor, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801077319 Issued in MI

Practice address

7985 Mackinaw TRL
Cadillac, MI 49601-8111

Phone

(231) 876-6200

Fax

(231) 876-6299

NPI assigned

Jan 31, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1932170503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3782 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895337",
            "telephone_number": "231-876-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7985 MACKINAW TRL",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018111",
            "telephone_number": "231-876-6200",
            "fax_number": "231-876-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMY",
        "middle_name": "JOANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801077319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801077319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3RD PARTY IDENTIFIER",
            "identifier": "AT077319",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "6801086768",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ciara Tanaka
• Jennifer Tank
• Amy Nicole Tarbell
• Gary Tasch, D.D.S.,M.S.
• Terrence Wayne Tatarchuk, MD
• Deborah Taylor
• Heather Susanne Teed
• Louis Charles Tegtmeyer, D.O.
• Terrence W. Tatarchuk, M.D., P.C.
• Teter Orthotics & Prosthetics Inc

• Clinical Social Worker in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.