Provider Demographics
NPI:1760009591
Name:TAYLOR, CHASSIDY (MSW)
Entity Type:Individual
Prefix:
First Name:CHASSIDY
Middle Name:
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 1:9111 CROSS PARK DR STE E475
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4533
Mailing Address - Country:US
Mailing Address - Phone:865-560-2550
Mailing Address - Fax:
Practice Address - Street 1:9111 CROSS PARK DR STE E475
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4533
Practice Address - Country:US
Practice Address - Phone:865-560-2550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-27
Last Update Date:2020-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health