TONIA K TAYLOR LCSW
NPI 1578570826
Social Worker - Clinical in Staunton, VA
About Tonia K Taylor Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONIA K TAYLOR LCSW (NPI 1578570826) is an individual clinical provider in Staunton, Virginia, licensed in Virginia (0904005025) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tonia K Taylor Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Tonia Taylor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Staunton, VA 24401
- Reassigned Medicare billing, Virginia enrollment
- 38 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Virginia enrollment
- 128 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STAUNTON, VA 24401
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 Tonia Taylor's NPI number?
The NPI number for Tonia Taylor is 1578570826. It was assigned to this individual provider in the NPPES registry on August 1, 2006.
Where is Tonia Taylor located?
Tonia Taylor practices at 85 Sangers Ln, Staunton, VA 24401. The listed phone number is (540) 213-7537.
What is Tonia Taylor's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Tonia Taylor enrolled in Medicare?
Yes. Tonia Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tonia Taylor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonia Taylor reassigns Medicare benefits to 2 organizations: Valley Community Services Board (Staunton, VA) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tonia Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tonia Taylor accept?
Health plans from Oscar Health list Tonia Taylor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tonia Taylor was last updated on March 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Tonia K Taylor, LCSW · NPI 1578570826
Clinical provider in Staunton, Virginia. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1578570826 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 0904005025 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 85 SANGERS LN, Staunton, VA 24401-6712
- **Phone:** (540) 213-7537 · **Fax:** (540) 887-3240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Valley Community Services Board (NPI 1649205212, Staunton, VA); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** March 27, 2022
- **Other identifiers:** Medicaid 004945336 (VA); Other O89031 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1578570826) · Data from the CMS NPPES public registry.