MR. DANIEL KENNETH TAYLOR (LMSW) – Clinical Social Worker, NPI 1619014735

MR. DANIEL KENNETH TAYLOR (LMSW) is a healthcare provider. based in Petoskey, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801072561 (MI). The NPI Number for MR. DANIEL KENNETH TAYLOR (LMSW) is 1619014735

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. DANIEL KENNETH TAYLOR (LMSW)
NPI
1619014735
Phone
(213) 347-6701
Address
ONE MACDONALD DRIVE SUITE B
Enumeration Date
30 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2313477890
Graduation Year
1996 (30 years ago)
PAC ID
6800991555
Group Practice PAC ID
8820052095
Professional Enrollment ID
I20070425000221
Address ID
MI497709420PE1420XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MR. DANIEL KENNETH TAYLOR (LMSW)

  • ONE MACDONALD DRIVE SUITE B

    PETOSKEY, MI 49770

    Phone: (213) 347-6701

    Type: Location

  • Sunset Meadow, Burgess, Hayes Township, Charlevoix County, Michigan, 49711, United States

    CHARLEVOIX, MI 49720

    Phone: (231) 547-9181

    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: 2007-04-25

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
I20070425000221IClinical Social WorkerMITBD

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 49770)

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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: 8820052095View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Nurse PractitionerMI
Mental Health CounselorMI
Physician AssistantMI
Clinical Social WorkerMI
-MI
P S Y C H I A T R YMI
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What number should I use to identify MR. DANIEL KENNETH TAYLOR (LMSW) for billing?
Administrative and clinical systems typically use NPI 1619014735 for MR. DANIEL KENNETH TAYLOR (LMSW).
Does the public listing show MR. DANIEL KENNETH TAYLOR (LMSW) as active?
MR. DANIEL KENNETH TAYLOR (LMSW)'s NPI record reflects an active status in NPPES.
What services align with MR. DANIEL KENNETH TAYLOR (LMSW)'s listing?
MR. DANIEL KENNETH TAYLOR (LMSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MR. DANIEL KENNETH TAYLOR (LMSW) tied to Petoskey, Michigan?
If you are local to Petoskey, Michigan, MR. DANIEL KENNETH TAYLOR (LMSW) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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