Healthcare Provider Details

I. General information

NPI: 1669805172
Provider Name (Legal Business Name): ELIZABETH NEILL TAYLOR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 LEESTOWN RD
LEXINGTON KY
40511-1052
US

IV. Provider business mailing address

2250 LEESTOWN RD
LEXINGTON KY
40511-1052
US

V. Phone/Fax

Practice location:
  • Phone: 859-233-4511
  • Fax: 859-281-3928
Mailing address:
  • Phone: 859-233-4511
  • Fax: 859-281-3928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1509
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: