Provider Demographics
NPI:1285836262
Name:TAYLOR, JANET FAYE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:FAYE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JAN
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:688 KINOOLE ST
Mailing Address - Street 2:STE 219
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-3869
Mailing Address - Country:US
Mailing Address - Phone:808-938-9315
Mailing Address - Fax:808-935-9949
Practice Address - Street 1:688 KINOOLE ST
Practice Address - Street 2:STE 219
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3869
Practice Address - Country:US
Practice Address - Phone:808-938-9315
Practice Address - Fax:808-935-9949
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI32341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical