Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023557170 Individual Practitioner Female Practitioner

Ericniesha Taylor , LCSW-C, LICSW

General Practice • Jbsa Lackland, TX

Professional Overview & Biography Verified Profile Summary

Ericniesha Taylor, LCSW-C, LICSW is a registered healthcare professional specializing in General Practice in Jbsa Lackland, TX. Practice services are available at 1100 WILFORD HALL LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Wilford Hall Loop
Bldg. 4554, 59 Mdw/gme

Jbsa Lackland, TX 782369908

Telephone 2102925972

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jbsa Lackland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
30 Specialists

Practicing in Jbsa Lackland, TX (1183 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: 2025-06-19
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WA LW61040860

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License MD 21703

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.

Community/Behavioral Health

NUCC Taxonomy Code: 251S00000X

State License WA SC60721786

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Practice Locations

1061 Harmon Ave

Fort Stewart, GA 313145641

Phone: 9124356965

Practice Associates & Co-Workers

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

27 Associated Practitioners
Phillip Trexel

Student in an Organized Health Care Education/Training Program

NPI 1003507377
Kaitlin Viloria-Ellorin , MA

Military Health Care Provider

NPI 1053106344

Master of Arts

Jeanette Santos

Psychologist

NPI 1073984563
Christina Weathers , MA

Counselor - Mental Health

NPI 1083917488

Master of Arts

Adam Jadick , LCSW

General Practice

NPI 1093500407

Licensed Clinical Social Worker

Mayrin Munguia

Psychologist

NPI 1164781977

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location June 19, 2025

Registered at 1100 WILFORD HALL LOOP, BLDG. 4554, 59 MDW/GME, JBSA LACKLAND, TX 782369908 (Tel: 2102925972)

📍
Updated Business Mailing Address June 19, 2025

Registered at 1100 WILFORD HALL LOOP, BLDG. 4554, 59 MDW/GME, JBSA LACKLAND, TX 782369908 (Tel: 2102925972)

👤
Provider Name / Credentials Updated June 19, 2025

Recorded as ERICNIESHA TAYLOR, LCSW-C, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2025

Social Worker (License #21703 in MD)

📍
Updated Practice Location September 06, 2023

Registered at 1061 HARMON AVE, FORT STEWART, GA 313145641 (Tel: 9124356965)

📍
Updated Business Mailing Address September 06, 2023

Registered at 1061 HARMON AVE, FORT STEWART, GA 313145641 (Tel: 9124356965)

👤
Provider Name / Credentials Updated September 06, 2023

Recorded as ERICNIESHA TAYLOR, LCSW-C

NPI Profile Active February 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2017

Registered at 105 NW 1ST ST, COUPEVILLE, WA 982393138 (Tel: 3606785555)

📍
Updated Business Mailing Address February 21, 2017

Registered at 2268 FAIRWAY LN, OAK HARBOR, WA 982777122

👤
Provider Name / Credentials Updated February 21, 2017

Recorded as ERICNIESHA TAYLOR, LSWAIC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2017

Community/Behavioral Health (License #SC60721786 in WA)

🟢
Initial NPI Registration & Enumeration February 21, 2017

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: 1023557170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2017
Last Update: June 19, 2025
Sole Proprietor: Yes

Mailing Address

1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme

Jbsa Lackland, TX 782369908

Phone: 2102925972

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.