Provider Demographics
NPI:1760719223
Name:TAYLOR, ANN MARGARET (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARGARET
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 W LAS PALMAS AVE STE A
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:CA
Mailing Address - Zip Code:95363-2552
Mailing Address - Country:US
Mailing Address - Phone:209-895-3329
Mailing Address - Fax:
Practice Address - Street 1:26 S 3RD ST
Practice Address - Street 2:SUITE E
Practice Address - City:PATTERSON
Practice Address - State:CA
Practice Address - Zip Code:95363-2509
Practice Address - Country:US
Practice Address - Phone:951-956-1191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS254021041C0700X, 101YM0800X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA534686Medicaid