Provider Demographics
NPI:1831855519
Name:SIMS, TAYLOR (LIMITED PERMIT MSW)
Entity type:Individual
Prefix:MS
First Name:TAYLOR
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:LIMITED PERMIT MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3480 THIRD AVE APT 8H
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-4474
Mailing Address - Country:US
Mailing Address - Phone:718-551-8593
Mailing Address - Fax:
Practice Address - Street 1:3480 THIRD AVE APT 8H
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-4474
Practice Address - Country:US
Practice Address - Phone:718-551-8593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty