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NPI Code Detail

MEDICARE: VICTORIA TAYLOR LCSW

MEDICARE:   VICTORIA  TAYLOR  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 Worker22296AZ

General Provider Information

NPI Number : 1184218513
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA TAYLOR LCSW
Provider Business Mailing Address
First Line : 2020 S MCCLINTOCK DR STE 101
Second Line :
City : TEMPE
State : AZ
Zip : 85282-2691
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1744 S VAL VISTA DR # 5-214
Second Line :
City : MESA
State : AZ
Zip : 85204-7362
Country : US
Telephone Number : 559-370-6372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2021
Last Update Date : 06/04/2025

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Directions to “ VICTORIA TAYLOR LCSW” Practice Location

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