Provider Demographics
NPI:1265151815
Name:BIAGI, TAYLOR LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:LYNN
Last Name:BIAGI
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 1:103 W STATE ST APT 4
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2254
Mailing Address - Country:US
Mailing Address - Phone:630-518-6342
Mailing Address - Fax:
Practice Address - Street 1:2712 FORGUE DR STE 112
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-4230
Practice Address - Country:US
Practice Address - Phone:630-201-2856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0245811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical