Provider Demographics
NPI:1245904192
Name:ASBELL-WERNER, TARYN R (LCSW)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:R
Last Name:ASBELL-WERNER
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 1:113 POLLY CT
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-2719
Mailing Address - Country:US
Mailing Address - Phone:478-321-8665
Mailing Address - Fax:
Practice Address - Street 1:2052 WATSON BLVD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3625
Practice Address - Country:US
Practice Address - Phone:478-207-7773
Practice Address - Fax:877-299-6815
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0076911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical