MEDICARE: MS. AKIRA TAYLOR L.C.S.W.

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	1041C0700X	Clinical Social Worker	5703398-3502	UT

General Provider Information

NPI Number	:	1528239209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AKIRA TAYLOR L.C.S.W.

Provider Business Mailing Address
First Line	:	1128 S 820 E APT 5202
Second Line	:
City	:	HEBER CITY
State	:	UT
Zip	:	84032-5804
Country	:	US
Telephone Number	:	435-352-0501
Fax Number	:

Provider Business Practice Location Address
First Line	:	1128 S 820 E APT 5202
Second Line	:
City	:	HEBER CITY
State	:	UT
Zip	:	84032-5804
Country	:	US
Telephone Number	:	435-352-0501
Fax Number	:

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

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	12/16/2025

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