Anne Regina Taylor, LMSW
Individual provider Active NPI Clinical Social Worker · Pellston, MI
NPI 1124597141 · NPPES record last updated Nov 9, 2021
Key facts
- NPI
- 1124597141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801094481 (MI)
- Practice address
- 172 N Park St
Pellston, MI 49769-9400 - Phone
- (231) 539-8550
- NPI assigned
- Nov 20, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801094481 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Michigan Community Health Agency | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801094481 | MI | Yes |
Addresses
Primary practice location
172 N Park St
Pellston, MI 49769-9400
Mailing address
912 Regent CT
Petoskey, MI 49770-9773
Phone (720) 771-7905
Other names
- Anne Regina Pulaski
Other providers in Pellston, MI
- Ashley Elizabeth Cook
- Barbara Jean Laughbaum
- Northern Dental Group, PC
- Mary Kathryn Ransford
- Rachelle Rife
- Alissa Ann Vieau
- Chase Woods
All providers in Pellston, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.