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SHANDA LYNETTE BOLING-TAYLOR MSW
NPI 1164091377
Social Worker in Mount Vernon, IL

Active since June 22, 2021
403 N 42ND ST STE C, MOUNT VERNON, IL 62864(618) 283-2222 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanda Lynette Boling-taylor Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANDA LYNETTE BOLING-TAYLOR MSW (NPI 1164091377) is an individual social worker in Mount Vernon, Illinois and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1164091377
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHANDA LYNETTE BOLING-TAYLORCredential: MSW
Location Address403 N 42ND ST STE CMount Vernon, IL 62864-2297
Mailing Address1121 N 6th StVandalia, IL 62471-1219 · (618) 283-2222
Phone(618) 283-2222
Sole ProprietorNo
Enumeration DateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1164091377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
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.
403 N 42ND ST STE C, Mount Vernon, IL 62864
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPERO FAMILY SERVICES
Community/Behavioral Health
403 N 42ND ST STE C
MOUNT VERNON, IL 62864
Jefferson County (618) 242-1070
ANNA DUKES LMSW
Social Worker
403 N 42ND ST STE C
MOUNT VERNON, IL 62864
Jefferson County (618) 283-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanda Boling-taylor's NPI number?

The NPI number for Shanda Boling-taylor is 1164091377. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Shanda Boling-taylor located?

Shanda Boling-taylor practices at 403 N 42nd St Ste C, Mount Vernon, IL 62864. The listed phone number is (618) 283-2222.

What is Shanda Boling-taylor's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Shanda Boling-taylor was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.