MEDICARE: BRANDI TAYLOR LMSW

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	104100000X	Social Worker	12718	TN
2	1041C0700X	Clinical Social Worker	9081	TN

General Provider Information

NPI Number	:	1619658648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI TAYLOR LMSW

Provider Business Mailing Address
First Line	:	1490 UNION AVE # 272
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-3725
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8400 CREEK FRONT DR
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-1521
Country	:	US
Telephone Number	:	901-265-3695
Fax Number	:

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

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	08/14/2025

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Directions to “ BRANDI TAYLOR LMSW” Practice Location

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