Provider Demographics
NPI:1164441234
Name:TAYLOR, KAREN ROFLO (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ROFLO
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:L
Other - Last Name:ROFLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5664 S.W. 60TH AVENUE
Mailing Address - Street 2:BLDG. #4
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5677
Mailing Address - Country:US
Mailing Address - Phone:352-291-5500
Mailing Address - Fax:352-291-5559
Practice Address - Street 1:5664 S.W. 60TH AVENUE
Practice Address - Street 2:BLDG. #4
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5677
Practice Address - Country:US
Practice Address - Phone:352-291-5500
Practice Address - Fax:352-291-5559
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1654M104100000X
FL99791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker