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Deactivated NPI 1962170779 Deactivated / Inactive NPI Female Practitioner

Taneka Taylor

Social Worker • Springfield, 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, Taneka Taylor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 06, 2021
NPI Deactivation Date December 05, 2021
Total Practice Duration ~1 Years of Practice (2021 – 2021)

Professional Overview & Biography Verified Profile Summary

Taneka Taylor was a registered Social Worker practicing in Springfield, IL. Throughout an active medical career spanning 1 years, Taneka Taylor provided care at the practice location at 2501 CHATHAM RD STE 5105 until profile deactivation on 2021-12-05.

Practice Location & Contact Primary Location

Practice Address

2501 Chatham Rd Ste 5105

Springfield, IL 627044188

Telephone 7737419440

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Springfield, IL

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

Practicing in Springfield, 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

CMS Verified: 2022-02-05
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IL 149.023462

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License IL 149.023462

Definition to come...

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location February 07, 2022

Registered at 2501 CHATHAM RD STE 5105, SPRINGFIELD, IL 627044188 (Tel: 7737419440)

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Updated Business Mailing Address February 07, 2022

Registered at 2501 CHATHAM RD STE 5105, SPRINGFIELD, IL 627044188 (Tel: 7737419440)

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Provider Name / Credentials Updated February 07, 2022

Recorded as TANEKA TAYLOR

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2022

Counselor (License #149.023462 in IL)

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NPI Profile Deactivated December 05, 2021

Record deactivated on December 05, 2021

NPI Profile Active September 06, 2021

NPI status registered as active in NPPES database

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Updated Practice Location September 06, 2021

Registered at 2343 W WINONA ST APT 2E, CHICAGO, IL 606251853 (Tel: 2176912760)

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Updated Business Mailing Address September 06, 2021

Registered at 2343 W WINONA ST APT 2E, CHICAGO, IL 606251853 (Tel: 2176912760)

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Provider Name / Credentials Updated September 06, 2021

Recorded as TANEKA TAYLOR

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2021

Counselor (License #149.023462 in IL)

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Initial NPI Registration & Enumeration September 06, 2021

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: 1962170779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2021
Last Update: February 07, 2022
Deactivation Date: December 05, 2021
Sole Proprietor: No

Mailing Address

2501 Chatham Rd Ste 5105

Springfield, IL 627044188

Phone: 7737419440

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.