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NPI Code Detail

MEDICARE: TAYLOR JOHNSON LMSW

MEDICARE: TAYLOR JOHNSON 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
1104100000XSocial Worker33013604AIN

General Provider Information

NPI Number : 1811848948
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR JOHNSON LMSW
Provider Business Mailing Address
First Line : PO BOX 203
Second Line :
City : MODOC
State : IN
Zip : 47358-0203
Country : US
Telephone Number : 765-625-2123
Fax Number :
Provider Business Practice Location Address
First Line : 3700 W KILGORE AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-4810
Country : US
Telephone Number : 765-289-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ TAYLOR JOHNSON LMSW” Practice Location

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