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JUSTIN MICHAEL TAYLOR I LICENSED MSW
NPI 1992455398
Social Worker in Lake Ronkonkoma, NY

Active since March 28, 2022
153 LAKE SHORE RD, LAKE RONKONKOMA, NY 11779(631) 471-5666 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Michael Taylor I Licensed Msw NPPES

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

JUSTIN MICHAEL TAYLOR I LICENSED MSW (NPI 1992455398) is an individual social worker in Lake Ronkonkoma, New York, licensed in New York (104733-01) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1992455398
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJUSTIN MICHAEL TAYLOR ICredential: LICENSED MSW
Location Address153 LAKE SHORE RDLake Ronkonkoma, NY 11779-3193
Mailing Address153 Lake Shore RdLake Ronkonkoma, NY 11779-3193 · (631) 471-5666
Phone(631) 471-5666
Sole ProprietorYes
Enumeration DateMarch 28, 2022
Last NPPES UpdateJanuary 2, 2026
NPPES CertifiedJanuary 2, 2026
✔ NPI 1992455398 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 NY · 104733-01
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.
153 LAKE SHORE RD, Lake Ronkonkoma, NY 11779
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Other Providers at the Same Location NPPES 7

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

REGGIE DONALD VALDEMAR PHMNP
Nurse Practitioner (Psychiatric/Mental Health)
153 LAKE SHORE RD
RONKONKOMA, NY 11779
Suffolk County (111) 111-1111
MS. MICHELE ANN KELLY CPNP NPP
Nurse Practitioner
153 LAKE SHORE RD, PHOENIX HOUSE MEDICAL DEPT
RONKONKOMA, NY 11779
Suffolk County (631) 471-5666
ALTAGRACE GILBERT BLANCHARD
Licensed Practical Nurse
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Suffolk County (844) 815-1508
NICHOLAS MARTIN PASCULLO LPN
Licensed Practical Nurse
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 471-5666
MRS. MELISSA PAZ RN
Registered Nurse
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Suffolk County (718) 233-4376
LYDIE CHERY REGISTERED NURSE
Registered Nurse
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 925-7619
EDJEANINE BOUCICAULT LPN
Licensed Practical Nurse
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 522-6876

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 Justin Taylor's NPI number?

The NPI number for Justin Taylor is 1992455398. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Justin Taylor located?

Justin Taylor practices at 153 Lake Shore Rd, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 471-5666.

What is Justin 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 Justin Taylor was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.