Doctor Name: | ADRIENNE ERICA TAYLOR |
NPI Number: | 1124395884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 2005015121 |
Business Practice Address: | 6220 Blue Ridge Cutoff Suite 312 Raytown, MO - 641333700 |
Business Phone Number: | 8164252850 |
Business Fax Number: | |
Mailing Address: | 6220 Blue Ridge Cutoff, Suite 312 KANSAS CITY |
State: | MO |
Postal Code: | 64133 |
Phone Number: | 8164252850 |
Fax Number: | |
NPI Enumeration Date: | 11/23/2011 |
NPI Last Update Date: | 11/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2005015121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |