Healthcare Provider Details

I. General information

NPI: 1679083455
Provider Name (Legal Business Name): TAYLOR LYNN SCHAD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2017
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 9TH ST
SOMERS POINT NJ
08244-1459
US

IV. Provider business mailing address

515 9TH ST
SOMERS POINT NJ
08244-1459
US

V. Phone/Fax

Practice location:
  • Phone: 609-226-3294
  • Fax:
Mailing address:
  • Phone: 609-226-3294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06450800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: