Provider Demographics
NPI:1093327181
Name:ZIMMERMAN, TAYLOR (LMSW)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:BARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1913 M ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66935-2238
Mailing Address - Country:US
Mailing Address - Phone:785-527-8271
Mailing Address - Fax:785-527-8317
Practice Address - Street 1:205 S 4TH ST STE J
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6168
Practice Address - Country:US
Practice Address - Phone:785-560-3101
Practice Address - Fax:785-527-8317
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11892104100000X
KS061461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker