Provider Demographics
NPI:1821230350
Name:TAYLOR, SARAH M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:M
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 FIRE TOWER DR
Mailing Address - Street 2:
Mailing Address - City:ROUGEMONT
Mailing Address - State:NC
Mailing Address - Zip Code:27572-6816
Mailing Address - Country:US
Mailing Address - Phone:336-675-2415
Mailing Address - Fax:
Practice Address - Street 1:515 FIRE TOWER DR
Practice Address - Street 2:
Practice Address - City:ROUGEMONT
Practice Address - State:NC
Practice Address - Zip Code:27572-6816
Practice Address - Country:US
Practice Address - Phone:336-512-0702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0063371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical