Individual provider Active NPI

Taylor N Masciocchi, LCSW

  • Clinical Social Worker
  • Marlton, NJ
National Provider Identifier
1982202669
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06258200 Issued in NJ
Practice address
3000 Lincoln Dr E Ste E
Marlton, NJ 08053-1500
Phone
(667) 415-9995
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06608700 NJ
Clinical Social Worker 1041C0700X 44SC06258200 NJ Primary

Addresses

Primary practice location

3000 Lincoln Dr E Ste E
Marlton, NJ 08053-1500

Mailing address

3000 Lincoln Dr E Ste E
Marlton, NJ 08053-1500
Phone (166) 741-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06608700NJMDSocial Worker
44SC06258200NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1982202669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 LINCOLN DR E STE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531500",
            "telephone_number": "166-741-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 LINCOLN DR E STE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531500",
            "telephone_number": "667-415-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCIOCCHI",
        "first_name": "TAYLOR",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06608700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06258200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.