Provider Demographics
NPI:1740047273
Name:WARD, TAYLOR NADINE
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:NADINE
Last Name:WARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 PASCHALL MILL RD
Mailing Address - Street 2:
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-9109
Mailing Address - Country:US
Mailing Address - Phone:610-717-6992
Mailing Address - Fax:
Practice Address - Street 1:202 PASCHALL MILL RD
Practice Address - Street 2:
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-9109
Practice Address - Country:US
Practice Address - Phone:610-717-6992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW140453104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker