Provider Demographics
NPI:1770168726
Name:MCLAIN, TAYLOR FORREST (LMSW)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:FORREST
Last Name:MCLAIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 W MONTGOMERY XRD STE 402
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3396
Mailing Address - Country:US
Mailing Address - Phone:912-436-6312
Mailing Address - Fax:
Practice Address - Street 1:413 W MONTGOMERY XRD STE 402
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3396
Practice Address - Country:US
Practice Address - Phone:912-436-6312
Practice Address - Fax:912-436-6338
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW009625104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker