1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Social Worker
  6. NPI Profile

TY-JUANA TATAE TAYLOR LCSW
NPI 1629825468
Social Worker - Clinical in Los Angeles, CA

Active since April 30, 2024PECOS Enrolled
PO BOX 252221, LOS ANGELES, CA 90025(270) 551-5158 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ty-juana Tatae Taylor Lcsw NPPES

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

TY-JUANA TATAE TAYLOR LCSW (NPI 1629825468) is an individual clinical provider in Los Angeles, California, licensed in California (121912) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629825468
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTY-JUANA TATAE TAYLORCredential: LCSW
Location AddressPO BOX 252221Los Angeles, CA 90025-8978
Mailing AddressPo Box 252221Los Angeles, CA 90025-8978 · (270) 551-5158
Phone(270) 551-5158
Sole ProprietorYes
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1629825468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 121912
Definition
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.
PO BOX 252221, Los Angeles, CA 90025
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ty-juana Tatae Taylor Lcsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Ty-juana Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
316 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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 90025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ty-juana Taylor's NPI number?

The NPI number for Ty-juana Taylor is 1629825468. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Ty-juana Taylor located?

Ty-juana Taylor practices at PO Box 252221, Los Angeles, CA 90025. The listed phone number is (270) 551-5158.

What is Ty-juana Taylor's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ty-juana Taylor enrolled in Medicare?

Yes. Ty-juana Taylor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ty-juana Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ty-juana Taylor reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The 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 Ty-juana Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ty-juana Taylor was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.