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 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | | | No |
| 2 | 172V00000X | Community Health Worker | | | | No |
| 3 | 251B00000X | Case Management | | | | No |
| 4 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 5 | 225C00000X | Rehabilitation Counselor | | | | No |
| 6 | 104100000X | Social Worker | | | | No |
| 7 | 101YM0800X | Counselor | Mental Health | | | No |
| 8 | 106S00000X | Behavior Technician | | | | No |
| 9 | 2083T0002X | Preventive Medicine | Medical Toxicology | | | No |
| 10 | 171M00000X | Case Manager/Care Coordinator | | | | Yes |