1. Home
  2. Directory
  3. South Carolina
  4. Longs
  5. Social Worker
  6. NPI Profile

TARAKA TAYLOR-MOULTRIE LISW-CP
NPI 1720656291
Social Worker - Clinical in Longs, SC

Active since June 11, 2021PECOS Enrolled
780 CHARTER DR UNIT B11, LONGS, SC 29568(478) 361-2126 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Taraka Taylor-moultrie Lisw-cp NPPES

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

TARAKA TAYLOR-MOULTRIE LISW-CP (NPI 1720656291) is an individual clinical provider in Longs, South Carolina, licensed in South Carolina (14372) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720656291
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARAKA TAYLOR-MOULTRIECredential: LISW-CP
Location Address780 CHARTER DR UNIT B11Longs, SC 29568-5833
Mailing Address780 Charter Dr Unit B11Longs, SC 29568-5833 · (478) 361-2126
Phone(478) 361-2126
Sole ProprietorYes
Enumeration DateJune 11, 2021
NPPES CertifiedJune 11, 2021
✔ NPI 1720656291 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 SC · 14372
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.
780 CHARTER DR UNIT B11, Longs, SC 29568
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taraka Taylor-moultrie Lisw-cp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29568 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 $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 Taraka Taylor-moultrie's NPI number?

The NPI number for Taraka Taylor-moultrie is 1720656291. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Taraka Taylor-moultrie located?

Taraka Taylor-moultrie practices at 780 Charter Dr Unit B11, Longs, SC 29568. The listed phone number is (478) 361-2126.

What is Taraka Taylor-moultrie's specialty?

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

Is Taraka Taylor-moultrie enrolled in Medicare?

Yes. Taraka Taylor-moultrie is registered in the Medicare PECOS enrollment system.

What insurance does Taraka Taylor-moultrie accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Taraka Taylor-moultrie 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 Taraka Taylor-moultrie was last updated on June 11, 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.