Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 1041C0700X | Social Worker | Clinical | | | No |
| 2 | 251B00000X | Case Management | | | | No |
| 3 | 251E00000X | Home Health | | | | No |
| 4 | 251S00000X | Community/Behavioral Health | | | | No |
| 5 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 6 | 253Z00000X | In Home Supportive Care | | | | No |
| 7 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 8 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 9 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 10 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 11 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 12 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 13 | 332BN1400X | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | | | No |
| 14 | 171M00000X | Case Manager/Care Coordinator | | | | Yes |