Raven D Tayborn, MSW, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150.106749 Issued in IL

Practice address

1802 W Belmont Ave
Chicago, IL 60657-9376

Phone

(847) 383-7090

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1982326427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 W GREENLEAF AVE APT 3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262973",
            "telephone_number": "217-766-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579376",
            "telephone_number": "847-383-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYBORN",
        "first_name": "RAVEN",
        "middle_name": "D",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.106749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Tawfik
• Michel Tawil, MD
• Reygan Tawney
• Timothy Taxter, M.D.
• Erica Tayaban
• Kasra Tayebi, MD
• Omar Tayh, DO
• Taylor Chiropractic, S.C. (Taylor Rehabiliation and Wellness Center)
• Taylor Counseling Care, LLC
• Taylor Counseling Services

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Sep 12, 2022; 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.