Stacey Taylor

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

605 State St
Springfield, MA 01109-4114

Phone

(413) 266-2207

Fax

(413) 301-5164

NPI assigned

Jul 26, 2021

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• African Diaspora Mental Health Association LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1558884338
  NPD

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1952074080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 STATE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011094114",
            "telephone_number": "141-326-6220",
            "fax_number": "413-301-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 STATE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011094114",
            "telephone_number": "413-266-2207",
            "fax_number": "413-301-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Taylor
• Lisa Arielle Taylor, PSY.D.
• Natasha Ann Taylor, LPN
• Nathan Ryan Taylor
• Nicole Taylor
• Veronica Taylor, BACHELOR IN SCIENCE
• Andrew Teasley Sr.
• Susan M Teasley
• Daniel Rettori Teixeira, PA
• Nancy Teixeira

• Clinical Social Worker in Springfield, MA
• Providers in Springfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.