Provider Demographics
NPI:1992032833
Name:TAYLOR, BETH ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:OWENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3510 WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64123-1138
Mailing Address - Country:US
Mailing Address - Phone:816-308-2738
Mailing Address - Fax:816-471-1579
Practice Address - Street 1:3510 WINDSOR AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64123-1138
Practice Address - Country:US
Practice Address - Phone:816-308-2738
Practice Address - Fax:816-471-1579
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20090221041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical