Provider Demographics
NPI:1922679208
Name:TAYLOR-FILER, GERALDINE LYNN (LCSW, CADC)
Entity Type:Individual
Prefix:MS
First Name:GERALDINE
Middle Name:LYNN
Last Name:TAYLOR-FILER
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:MS
Other - First Name:GERALDINE
Other - Middle Name:LYNN
Other - Last Name:TAYLOR-FILER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, CADC
Mailing Address - Street 1:3912 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-2055
Mailing Address - Country:US
Mailing Address - Phone:163-085-2398
Mailing Address - Fax:
Practice Address - Street 1:3912 FOREST AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-2055
Practice Address - Country:US
Practice Address - Phone:630-852-3980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490112821041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health