MEDICARE: HANNAH GRACE TAYLOR MSW, CSW, TCM

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
1	1041C0700X	Clinical Social Worker	260426	KY

General Provider Information

NPI Number	:	1477440253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH GRACE TAYLOR MSW, CSW, TCM

Provider Business Mailing Address
First Line	:	204 CROSSFIELD PL
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1407
Country	:	US
Telephone Number	:	859-948-9676
Fax Number	:

Provider Business Practice Location Address
First Line	:	2285 EXECUTIVE DR STE 325
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40505-4883
Country	:	US
Telephone Number	:	859-251-8782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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