Provider Demographics
NPI:1093031007
Name:TAYLOR, LISA HELEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:HELEN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 UNION BOULEVARD
Mailing Address - Street 2:CATHOLIC CHARITIES
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109
Mailing Address - Country:US
Mailing Address - Phone:610-435-1541
Mailing Address - Fax:610-435-4367
Practice Address - Street 1:530 UNION BOULEVARD
Practice Address - Street 2:CATHOLIC CHARITIES
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109
Practice Address - Country:US
Practice Address - Phone:610-435-1541
Practice Address - Fax:610-435-4367
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0141441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical