Taylor J Underwood

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TAYLOR J UNDERWOOD

Practice address

3205 N Wilke Rd # 102E
Arlington Heights, IL 60004-0001

Phone

(815) 993-8311

NPI assigned

Dec 3, 2020

Last updated

Jun 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taylor Underwood, LCSWNPI 1184235541

Title

President

Phone

(815) 993-8831

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor J Underwood

  • Clinical Social Worker
  • La Grange Park, IL
  • NPI 1184235541
  NPD Authorized official

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1952906109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S HIGHLAND AVE APT 406",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 N WILKE RD # 102E",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600040001",
            "telephone_number": "815-993-8311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9620 US 34",
            "address_purpose": "LOCATION",
            "city": "Yorkville",
            "state": "IL",
            "postal_code": "60560",
            "country_code": "US",
            "telephone_number": "815-993-8831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAYLOR J UNDERWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-06-22",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-993-8831",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Taruc
• Michael Tatar
• Arvydas Tauras, M.D.
• Genesis Taveras
• Ciara Taylor, COTA
• Jennifer Taylor
• Leon F. Tcheupdjian, M.D.
• Alison Jean Tealdi, DPT
• Team Rehabilitation Services, LLC

• Clinical Social Worker in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.