Amanda Bates Taylor, LCSW, CSOTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12239 Issued in LA

Practice address

143 Ridgeway Dr Ste 111
Lafayette, LA 70503-3495

Phone

(337) 366-0896

NPI assigned

Oct 21, 2013

Reactivated

Aug 13, 2019

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

Other names 1

• Amanda Marie Bates Former name

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": "1382313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1992133458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 RIDGEWAY DR STE 111",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033495",
            "telephone_number": "337-366-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 RIDGEWAY DR STE 111",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033495",
            "telephone_number": "337-366-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMANDA",
        "middle_name": "BATES",
        "credential": "LCSW, CSOTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-21",
        "last_updated": "2019-08-13",
        "deactivation_date": "2019-07-26",
        "reactivation_date": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BATES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Simone M Tauriac
• Kristin Elizabeth Tauzin, FNP
• Taylor Houston Shank, DDS, a Professional Dental Corporation
• Jennifer Lane Taylor-Pitzer, FPSS
• Adriona Lucretia Taylor, ANP-C
• Ashley Taylor
• Britni Rae Taylor, M.S. CCC-SLP
• Corryn Smith Taylor, RD
• Deidra D Taylor
• Jaci Elizabeth Taylor, SLP

• Clinical Social Worker in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.