Provider Demographics
NPI:1700290327
Name:TAYLOR, CARINA (LCSW, LCAS, CCS)
Entity Type:Individual
Prefix:
First Name:CARINA
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCSW, LCAS, CCS
Other - Prefix:
Other - First Name:CARINA
Other - Middle Name:
Other - Last Name:BOTTERBUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1287 BROWN AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-1920
Mailing Address - Country:US
Mailing Address - Phone:828-550-5533
Mailing Address - Fax:
Practice Address - Street 1:90 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3622
Practice Address - Country:US
Practice Address - Phone:828-604-6570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21013101YA0400X
NCC0103011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)