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Deactivated NPI 1720290059 Deactivated / Inactive NPI Male Practitioner

Kenneth R Taylor , LCSW

Social Worker - Clinical • Wheaton, 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, Kenneth Taylor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 07, 2007
NPI Deactivation Date August 02, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Kenneth Taylor, LCSW was a registered Social Worker - Clinical practicing in Wheaton, IL. Throughout an active medical career spanning 16 years, Kenneth Taylor provided care at the practice location at 600 W ROOSEVELT RD until profile deactivation on 2023-08-02.

Practice Location & Contact Primary Location

Practice Address

600 W Roosevelt Rd
Suite A-2

Wheaton, IL 601875088

Telephone 6304628810
Fax 6304628820
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Wheaton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
138 Specialists

Practicing in Wheaton, IL (14000 Statewide)

Telehealth Adoption Rate
10.1% 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 - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Mark Macdonald , LCSW

Social Worker - Clinical

NPI 1013033885

Licensed Clinical Social Worker

Mary Hockett , LCPC

Counselor - Professional

NPI 1043458805

Licensed Clinical Professional Counselor

Caren Talbot , LCSW

Social Worker - Clinical

NPI 1124329404

Licensed Clinical Social Worker

Brigette Joch , MA AMFT

Marriage & Family Therapist

NPI 1225686660

MAAMFT

Parvine Macdonald , LCSW

Social Worker - Clinical

NPI 1558487769

Licensed Clinical Social Worker

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 02, 2023

Record deactivated on August 02, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 600 W ROOSEVELT RD, SUITE A-2, WHEATON, IL 601875088 (Tel: 6304628810)

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Updated Business Mailing Address July 08, 2007

Registered at 48 W 774 U.S.30, BIG ROCK, IL 60511 (Tel: 6305564836)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH TAYLOR, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker

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Initial NPI Registration & Enumeration May 07, 2007

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: 1720290059
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2007
Last Update: July 08, 2007
Deactivation Date: August 02, 2023

Mailing Address

48 W 774 U.s.30

Big Rock, IL 60511

Phone: 6305564836

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

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