Robin Marie Taylor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13070 Issued in FL

Practice address

3880 South Washington Ave
Suite 238
Titusville, FL 32780

Phone

(321) 735-8113

Fax

(833) 921-0180

NPI assigned

Jul 17, 2017

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

Other names 1

• Robin Marie Ahlgren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Creation Counseling LLC

  dba Embrace Wellness Center

  • Clinical Social Worker
  • Titusville, FL
  • NPI 1669994158
  NPD

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1962924456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SOUTH WASHINGTON AVE",
            "address_2": "SUITE 238",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32780",
            "telephone_number": "321-735-8113",
            "fax_number": "833-921-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SOUTH WASHINGTON AVE",
            "address_2": "SUITE 238",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32780",
            "telephone_number": "321-735-8113",
            "fax_number": "833-921-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ROBIN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2023-08-25",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "AHLGREN",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler J Tantillo, DO
• Tanya Itani Taival DO LLC
• Amie L Tarantola, ARNP
• Kelly Michelle Taylor-Sandy
• Leah Taylor
• TCM of Florida Inc
• TCM of Florida Inc
• Joy Teague
• Margaret A Tedeschi
• Frankie Lee Ter Keurst, LMHC, LPCC

• Clinical Social Worker in Titusville, FL
• Providers in Titusville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.