Provider Demographics
NPI:1629377577
Name:TAYLOR, BARBARA (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26005 POINT LOOKOUT RD UNIT 3
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-2004
Mailing Address - Country:US
Mailing Address - Phone:301-475-7894
Mailing Address - Fax:301-475-7837
Practice Address - Street 1:26005 POINT LOOKOUT RD UNIT 3
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2004
Practice Address - Country:US
Practice Address - Phone:301-475-7894
Practice Address - Fax:301-475-7837
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD061021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical