MEDICARE: CASSANDRA TAYLOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	104100000X	Social Worker	34324	MD

General Provider Information

NPI Number	:	1215357694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA TAYLOR

Provider Business Mailing Address
First Line	:	802 BEL AIR RD STE 102
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-4212
Country	:	US
Telephone Number	:	605-381-9706
Fax Number	:

Provider Business Practice Location Address
First Line	:	802 BEL AIR RD STE 102
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-4212
Country	:	US
Telephone Number	:	443-760-3456
Fax Number	:	443-371-2638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2014
Last Update Date	:	03/20/2026

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Directions to “ CASSANDRA TAYLOR ” Practice Location

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