Healthcare Provider Details

I. General information

NPI: 1689006223
Provider Name (Legal Business Name): TAYLOR THOMPSON GILBERT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 01/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7620 GOODWOOD BLVD
BATON ROUGE LA
70806-7622
US

IV. Provider business mailing address

7620 GOODWOOD BLVD
BATON ROUGE LA
70806-7622
US

V. Phone/Fax

Practice location:
  • Phone: 225-241-0263
  • Fax:
Mailing address:
  • Phone: 225-227-2588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11331
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number11331
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: