Jennifer Delaine Taylor, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62984 Issued in TX

Practice address

349 Keller Pkwy Ste 100
Keller, TX 76248-2266

Phone

(817) 382-2249

Fax

(817) 541-4483

NPI assigned

Mar 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Delaine Taylor Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1972827939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 KELLER PKWY STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482266",
            "telephone_number": "817-382-2249",
            "fax_number": "817-541-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 KELLER PKWY STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482266",
            "telephone_number": "817-382-2249",
            "fax_number": "817-541-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "DELAINE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923050",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELAINE",
            "last_name": "TAYLOR",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tamara S. Miller DDS, P.a.
• Tarrant Plastic Surgery, P.a.
• Tarrant Sports & Physical Therapy
• Rebecca Tate, LCSW
• Breana Taylor
• Lauren Taylor
• Michaelann Marie Taylor
• Michael Teague
• Amy Rebecca Teel, MED
• Harold Teel, LPC

• Clinical Social Worker in Keller, TX
• Providers in Keller, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.