MEDICARE: ROBIN NOEL 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
1	1041C0700X	Clinical Social Worker	CW019398	PA
2	1041C0700X	Clinical Social Worker	Q1-0001203	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508106915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN NOEL TAYLOR LCSW

Provider Business Mailing Address
First Line	:	108 RIVERBIRCH CIR
Second Line	:
City	:	KENNETT SQ
State	:	PA
Zip	:	19348-1678
Country	:	US
Telephone Number	:	610-306-8981
Fax Number	:

Provider Business Practice Location Address
First Line	:	3314 OLD CAPITOL TRL
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19808-6235
Country	:	US
Telephone Number	:	610-306-8981
Fax Number	:	302-516-7672

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

Provider Enumeration Date	:	02/21/2013
Last Update Date	:	01/16/2019

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