Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1841912052 Deactivated / Inactive NPI Female Practitioner

Taylore Rae Davis , MSW, LSW

Social Worker • Bloomington, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Taylore Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2022
NPI Deactivation Date April 05, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Taylore Davis, MSW, LSW was a registered Social Worker practicing in Bloomington, IL. Throughout an active medical career spanning 1 years, Taylore Davis provided care at the practice location at 2206 EASTLAND DR until profile deactivation on 2023-04-05.

Practice Location & Contact Primary Location

Practice Address

2206 Eastland Dr

Bloomington, IL 617047742

Telephone 2177147042
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
26 Specialists

Practicing in Bloomington, IL (5960 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IL 150.103781

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Madisyn Welsh

Social Worker

NPI 1003621673
Karly Johnson , MSW

Social Worker

NPI 1053101022

Master of Social Work

NPI 1114647443

Master of Arts

Amanda Gold

Counselor - Mental Health

NPI 1134849458
NPI 1154046233

Master of Social Work, Licensed Social Worker

Taylor Cox

Counselor

NPI 1174243588

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated April 05, 2023

Record deactivated on April 05, 2023

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NPI Profile Deactivated April 04, 2023

Record deactivated on April 04, 2023

NPI Profile Active September 14, 2022

NPI status registered as active in NPPES database

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Updated Practice Location September 14, 2022

Registered at 2206 EASTLAND DR, BLOOMINGTON, IL 617047742 (Tel: 2177147042)

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Updated Business Mailing Address September 14, 2022

Registered at 504 NEWCASTLE DR, MACKINAW, IL 617557648 (Tel: 3092329369)

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Provider Name / Credentials Updated September 14, 2022

Recorded as TAYLORE DAVIS, MSW, LSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2022

Social Worker (License #150.103781 in IL)

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Initial NPI Registration & Enumeration September 14, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841912052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2022
Last Update: September 14, 2022
Deactivation Date: April 05, 2023

Mailing Address

504 Newcastle Dr

Mackinaw, IL 617557648

Phone: 3092329369

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.