Terrahl Del Taylor, MSW, LISW-S, LICDC
NPI 1689189102ActiveIndividual· Social Worker, Clinical· Columbus, OH
Social Worker, Clinical (MSW, LISW-S, LICDC) with Southeast Inc, practicing in Columbus, Ohio. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1689189102 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LISW-S, LICDC |
| Sole proprietor | Yes |
| NPI issued | Dec 6, 2017 |
| Last updated in NPPES | Oct 4, 2020 |
| Certified by provider | Oct 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I.1801014-SUPV | OH |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LICDC.161758 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OH) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Southeast IncDelaware, OH · 47 clinicians
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