Individual
ELICIA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2826 WESTCHESTER AVE, BRONX, NY 10461-4514
(718) 554-2025
Mailing address
3412 TIEMANN AVE, BRONX, NY 10469-2751
(347) 583-6747
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NY
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117299-01
—
NY
Enumeration date
11/03/2022
Last updated
11/03/2022
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