Partaja Niqua Spann Taylor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

460 Pine St
Providence, RI 02907-1358

Phone

(401) 272-0220

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Amos House

  • Case Management Agency
  • Providence, RI
  • NPI 1891157509
  NPD
• Amos House

  • Case Manager/Care Coordinator
  • Providence, RI
  • NPI 1255872529
  NPD (past)

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1952021933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CALEF ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207138",
            "telephone_number": "401-999-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 PINE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071358",
            "telephone_number": "401-272-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN TAYLOR",
        "first_name": "PARTAJA",
        "middle_name": "NIQUA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Lyn Souza, LICSW
• Victoria Souza, PHARMD
• Carole Suzanne Lucie Spake, MD
• Anthony Joseph Spallino, PA-C
• Lora Spalt, LCDS
• Erica Spano, FNP-C
• Coco Sparks, RDN, LDN
• Katherine Sparrow
• Shirley Ann Spater Freedman, DMD MPH
• Alida Valli Spaulding

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.