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NPI Code Detail

MEDICARE: SARA TAYLOR-NIEMANN MSW, LCSW

MEDICARE: SARA TAYLOR-NIEMANN MSW, LCSW
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
11041C0700XClinical Social Worker134700-121WI
21041C0700XClinical Social Worker12664-123WI
3104100000XSocial Worker7559TAZ

General Provider Information

NPI Number : 1417679614
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA TAYLOR-NIEMANN MSW, LCSW
Provider Business Mailing Address
First Line : 2620 STEIN BLVD STE B
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-2674
Country : US
Telephone Number : 715-836-0064
Fax Number : 715-836-0065
Provider Business Practice Location Address
First Line : 2620 STEIN BLVD
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-2672
Country : US
Telephone Number : 715-836-0064
Fax Number : 715-836-0065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2022
Last Update Date : 12/04/2025

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