Provider Demographics
NPI:1134931454
Name:TAYLOR, JAMES PATRICK (LCSW)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 WESTMORELAND AVE
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-4280
Mailing Address - Country:US
Mailing Address - Phone:724-871-8097
Mailing Address - Fax:
Practice Address - Street 1:419 WESTMORELAND AVE
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-4280
Practice Address - Country:US
Practice Address - Phone:724-871-8097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical