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TAYLOR WALLIS LSW
NPI 1427861988
Social Worker in Champaign, IL

Active since January 29, 2025PECOS Enrolled
2125 S NEIL ST, CHAMPAIGN, IL 61820(217) 352-0200(217) 607-1139 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Taylor Wallis Lsw NPPES

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

TAYLOR WALLIS LSW (NPI 1427861988) is an individual social worker in Champaign, Illinois, licensed in Illinois (150116163) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427861988
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTAYLOR WALLISCredential: LSW
Location Address2125 S NEIL STChampaign, IL 61820-7266
Mailing Address2125 S Neil StChampaign, IL 61820-7266 · (217) 352-0200 · Fax (217) 607-1139
Phone(217) 352-0200
Fax(217) 607-1139
Sole ProprietorNo
Enumeration DateJanuary 29, 2025
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1427861988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150116163
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.
2125 S NEIL ST, Champaign, IL 61820
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Wallis Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ERICA TAYLOR LPC
Counselor (Professional)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
CHRISTOPHER GADOW LPC
Counselor (Professional)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
GRACE J WASILEWSKI MSW
Social Worker
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
DARIN L ROCK LCPC
Counselor (Professional)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
MS. KERI BETH POWELL LCSW
Social Worker (Clinical)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
KACIE JOYNER LCSW
Social Worker (Clinical)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 493-4748
KRISTIN PASLEY LCSW
Social Worker (Clinical)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
KERI POWELL THERAPY INC
Counselor (Mental Health)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200

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 Taylor Wallis's NPI number?

The NPI number for Taylor Wallis is 1427861988. It was assigned to this individual provider in the NPPES registry on January 29, 2025.

Where is Taylor Wallis located?

Taylor Wallis practices at 2125 S Neil St, Champaign, IL 61820. The listed phone number is (217) 352-0200.

What is Taylor Wallis's specialty?

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

Is Taylor Wallis enrolled in Medicare?

Yes. Taylor Wallis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taylor Wallis was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.