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NPI Code Detail

MEDICARE: TAYLOR TRESSLER LCSW

MEDICARE: TAYLOR TRESSLER LCSW
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
11041C0700XClinical Social Worker34012327AIN

General Provider Information

NPI Number : 1053266742
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR TRESSLER LCSW
Provider Business Mailing Address
First Line : 24428 KERCHEVAL ST
Second Line :
City : SHERIDAN
State : IN
Zip : 46069-9472
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1234 N COURTLAND AVE
Second Line :
City : KOKOMO
State : IN
Zip : 46901-2754
Country : US
Telephone Number : 765-860-6466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2026
Last Update Date : 02/27/2026

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Directions to “ TAYLOR TRESSLER LCSW” Practice Location

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