TAYLOR CHILLY (LCSW) – Clinical Social Worker, NPI 1255976965

TAYLOR CHILLY (LCSW) is a healthcare provider. based in New london, Connecticut. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCSW. They hold a License No. 13644 (CT). The NPI Number for TAYLOR CHILLY (LCSW) is 1255976965

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR CHILLY (LCSW)
NPI
1255976965
Phone
(860) 443-2896
Address
255 HEMPSTEAD ST
Enumeration Date
18 November 2019
Last Update Date
10 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604569116
Graduation Year
2020 (6 years ago)
PAC ID
5395240378
Group Practice PAC ID
2961309059
Professional Enrollment ID
I20250923001725
Address ID
CT062262045WI112XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

834 MENTAL HEALTH COUNSELOR in CT

Provider Addresses for TAYLOR CHILLY (LCSW)

  • 255 HEMPSTEAD ST

    NEW LONDON, CT 063206204

    Phone: (860) 443-2896

    Fax: (860) 442-5909

    Type: Mailing

  • 7 VAUXHALL ST

    NEW LONDON, CT 063205711

    Phone: (860) 442-2797

    Fax: (860) 701-3776

    Type: Location

  • 100 WEST RD # 3

    ELLINGTON, CT 060293798

    Phone: (860) 454-0520

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-23

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250923001725IMental Health CounselorCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06320)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961309059View full group profile
NameSpecialtyState
General SurgeryCT
Certified Nurse Midwife (Cnm)WA
Internal MedicineCT
Internal MedicineCT
-CT
Internal MedicineNY
Internal MedicineNY
Clinical Social WorkerCT
Geriatric Psychiatry, PsychiatryCT
Internal MedicineCT

Reviews

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Frequently asked questions

How is TAYLOR CHILLY (LCSW) identified in CMS data?
CMS-hosted NPPES data lists TAYLOR CHILLY (LCSW) with NPI 1255976965.
Can I rely on TAYLOR CHILLY (LCSW) being an active provider?
As of the registry snapshot, TAYLOR CHILLY (LCSW) is marked active.
What is TAYLOR CHILLY (LCSW)'s specialty?
The listing groups TAYLOR CHILLY (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for TAYLOR CHILLY (LCSW)?
TAYLOR CHILLY (LCSW)'s geographic hint is New London, Connecticut in our summary view.
Why does TAYLOR CHILLY (LCSW) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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