MEDICARE: BRIANNA MARIE-MCCALL TAYLOR LICSW

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	SWI.LW.70008527	WA

General Provider Information

NPI Number	:	1841806635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA MARIE-MCCALL TAYLOR LICSW

Provider Business Mailing Address
First Line	:	16232 BOTHELL EVERETT HWY # 1077
Second Line	:
City	:	MILL CREEK
State	:	WA
Zip	:	98012-1520
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16232 BOTHELL EVERETT HWY # 1077
Second Line	:
City	:	MILL CREEK
State	:	WA
Zip	:	98012-1520
Country	:	US
Telephone Number	:	951-852-3685
Fax Number	:

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

Provider Enumeration Date	:	09/17/2020
Last Update Date	:	06/21/2026

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