Provider Demographics
NPI:1972758209
Name:TAPS, JUDITH S (PHD,LCSW)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:S
Last Name:TAPS
Suffix:
Gender:F
Credentials:PHD,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 WALTER SCOTT RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-3051
Mailing Address - Country:US
Mailing Address - Phone:850-383-8080
Mailing Address - Fax:850-422-1739
Practice Address - Street 1:2805 WALTER SCOTT RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312-3051
Practice Address - Country:US
Practice Address - Phone:850-383-8080
Practice Address - Fax:850-422-1739
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ1431OtherBLUE CROSS BLUE SHIELD