Juwana Hightower Taylor, LCSW
Individual provider Active NPI Clinical Social Worker · Port Wentwrth, GA
NPI 1952013609 · NPPES record last updated Dec 14, 2022
Key facts
- NPI
- 1952013609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW007758 (GA)
- Practice address
- 186 Fox Glen CT
Port Wentwrth, GA 31407-3642 - Phone
- (706) 267-0285
- NPI assigned
- Dec 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW007758 | GA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW007758 | GA | Yes |
Addresses
Primary practice location
186 Fox Glen CT
Port Wentwrth, GA 31407-3642
Mailing address
186 Fox Glen CT
Port Wentwrth, GA 31407-3642
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.