TINA M TAYLOR (LCSW, LMFT) – Clinical Social Worker, NPI 1871890533

TINA M TAYLOR (LCSW, LMFT) is a healthcare provider. based in Louisville, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW, LMFT. They hold a License No. 1501 (KY). The NPI Number for TINA M TAYLOR (LCSW, LMFT) is 1871890533

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
TINA M TAYLOR (LCSW, LMFT)
NPI
1871890533
Phone
(502) 797-0936
Address
9709 FORESTWOOD DR
Enumeration Date
16 February 2011
Last Update Date
16 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5027970936
Graduation Year
2000 (26 years ago)
PAC ID
4284817867
Group Practice PAC ID
1951654870
Professional Enrollment ID
I20110318000498
Address ID
KY402432543LO12700WAYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

Provider Addresses for TINA M TAYLOR (LCSW, LMFT)

  • 9709 FORESTWOOD DR

    LOUISVILLE, KY 402997403

    Phone: (502) 797-0936

    Fax: (502) 749-9224

    Mailing address matches the actual address.

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: 2011-03-18

PECOS data refreshed: 2026-05-27

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
I20110318000498IClinical Social WorkerKYTBD

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 40299)

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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: 1951654870View full group profile
NameSpecialtyState
Mental Health CounselorKY

Reviews

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Frequently asked questions

Is there an official ID for TINA M TAYLOR (LCSW, LMFT) in U.S. healthcare records?
The official identifier for TINA M TAYLOR (LCSW, LMFT) is NPI 1871890533.
Active or inactive — what applies to TINA M TAYLOR (LCSW, LMFT)?
You should see TINA M TAYLOR (LCSW, LMFT) as active in CMS-hosted NPPES data.
What expertise is attributed to TINA M TAYLOR (LCSW, LMFT)?
TINA M TAYLOR (LCSW, LMFT)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is TINA M TAYLOR (LCSW, LMFT) located near Louisville?
TINA M TAYLOR (LCSW, LMFT) currently maps to Louisville, Kentucky in this extract.
When was this NPI issued?
Enumeration for TINA M TAYLOR (LCSW, LMFT) is noted as February 16, 2011 where the registry provides it.