Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth James Taylor, LCSW

Individual provider Social Worker · NPI 1528565488

Kenneth James Taylor, LCSW is a Clinical Social Worker in Pocatello, Idaho. Qualified in 2017, 9 years ago. Practices with Cognitive Restructuring LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2018
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

707 N 7th Ave
Pocatello, ID 83201-5785
Phone: (208) 242-3044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5026 Elizabeth Ave, Chubbuck, ID 83202-1606 — (208) 757-0803

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-42204 (ID)
Social Worker Taxonomy 104100000X · Licence 37236 (ID)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 10046 (ID)

Record details

NPI number1528565488
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 8, 2018
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address707 N 7th Ave Ste D, Pocatello, ID 83201-5796

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cognitive Restructuring Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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