Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN MICHAEL TAYLOR I, LICENSED MSW
Active Sole ProprietorJUSTIN MICHAEL TAYLOR I, LICENSED MSW is a Social Worker healthcare provider located in LAKE RONKONKOMA, New York. NPI 1992455398 is currently active in the NPPES registry. Verify at CMS.
Social Worker · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1992455398
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2022 (4.3779674736616 yrs)
- Last Updated
- Jan 2, 2026
- License
-
104733-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
153 LAKE SHORE RDLAKE RONKONKOMA, NY, 117793193Browse NY providers · Browse ZIP 11779
- Phone
- 6314715666
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in LAKE RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| KIMBERLIE A WOTTAWA | LMSW | 1598807968 |
| MRS. BARBARA A BECKER | LCSW | 1356476675 |
| SATURNE PHILLIP | — | 1134640980 |
| CAITLIN SILVERSTEIN | LCSW | 1417578758 |
| BONNIE HOPE | LMSW | 1528727591 |
| LINDSAY BLAIR DANIELS | LMSW | 1134086671 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.