Individual
COURTNEY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
252 EVERETT AVE APT B, WYCKOFF, NJ 07481-1940
(201) 800-4414
Mailing address
252 EVERETT AVE APT B, WYCKOFF, NJ 07481-1940
(201) 546-4213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00261100
NJ
104100000X
Social Worker
Primary
44SL05916400
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05719600
NJ
1041C0700X
Clinical Social Worker
LC19142
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4138601
—
NJ
Enumeration date
03/21/2014
Last updated
02/13/2026
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