Provider Demographics
NPI:1568497501
Name:TAYLOR, CHERYL L (MSW)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:L
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 MAIN ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-2515
Mailing Address - Country:US
Mailing Address - Phone:410-532-8546
Mailing Address - Fax:410-526-3089
Practice Address - Street 1:750 MAIN ST
Practice Address - Street 2:SUITE 310
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-2515
Practice Address - Country:US
Practice Address - Phone:410-532-8546
Practice Address - Fax:410-526-3089
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD084611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDQ823OtherBLUE CROSS BLUE SHIELD OF
MDQ823OtherBLUE CROSS BLUE SHIELD OF