MEDICARE: NATASHA DOROTHY TAYLOR LMSW

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	9521	LA
2	104100000X	Social Worker	9521	LA

General Provider Information

NPI Number	:	1851524664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA DOROTHY TAYLOR LMSW

Provider Business Mailing Address
First Line	:	4237 LAC DU BAY DR
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-5232
Country	:	US
Telephone Number	:	504-312-0580
Fax Number	:

Provider Business Practice Location Address
First Line	:	4237 LAC DU BAY DR
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-5232
Country	:	US
Telephone Number	:	504-312-0580
Fax Number	:

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

Provider Enumeration Date	:	08/26/2009
Last Update Date	:	11/28/2022

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