Individual
EBONI D TAYLOR-TUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
155 LOG CANOE CIR, STEVENSVILLE, MD 21666-2127
(410) 604-0226
(410) 822-5569
Mailing address
221 DUTCHESS RD, CHESTERTOWN, MD 21620-2211
(443) 480-3588
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
19155
MD
1041C0700X
Clinical Social Worker
Primary
19155
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147-000
MAGELLAN
MD
01
—
346646
MHN/TRICARE
MD
01
—
517251
OPTUM/UBH
MD
05
—
520202701
—
MD
05
—
520202703
—
MD
05
—
609550002
—
MD
05
—
609550005
—
MD
01
—
7840093
AETNA
MD
01
—
R968
CAREFIRST
MD
Enumeration date
09/17/2013
Last updated
08/21/2025
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