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Clinton Taylor, LCSW

NPI 1780121046 · Clinical Social Worker · Farmington, NM

Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1780121046
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: No
License: C-11047 (NM)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense C-11047 (NM)
Behavioral Health & Social Service Providers
Social Worker104100000XLicense X-11195 (NM)
Behavioral Health & Social Service Providers
Addiction (Substance Use Disorder) Counselor101YA0400XLicense 0176141 (NM)
Behavioral Health & Social Service Providers
Social Worker104100000XLicense M-09715 (NM)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(75/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1001 W Broadway Ste D

Farmington, NM 87401-5638

Phone: (505) 325-0238

Fax: (505) 325-9113

Street-level locationGet directions

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Mailing address