Provider Demographics
NPI:1730493347
Name:TAYLOR, DENZIE W (LCSW, MCAP)
Entity Type:Individual
Prefix:MR
First Name:DENZIE
Middle Name:W
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:LCSW, MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3261 COMMERCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-2694
Mailing Address - Country:US
Mailing Address - Phone:352-686-3188
Mailing Address - Fax:352-686-9394
Practice Address - Street 1:1265 KASS CIRCLE
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-4308
Practice Address - Country:US
Practice Address - Phone:352-686-3188
Practice Address - Fax:352-686-9394
Is Sole Proprietor?:No
Enumeration Date:2010-08-06
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMCAP100113101YA0400X
IN34006025A1041C0700X
FLSW115011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)