Michelle Ann Taylor, LMSW
Individual provider Active NPI Clinical Social Worker · Jefferson, MD
NPI 1669942892 · NPPES record last updated Nov 30, 2018
Key facts
- NPI
- 1669942892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- G08031 (MD)
- Practice address
- Breakthrough Counseling Services
4014 Mountville Road
Jefferson, MD 21755-7713 - Phone
- (240) 986-1001
- NPI assigned
- Nov 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| G08031 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | G08031 | MD | Yes |
Addresses
Primary practice location
Breakthrough Counseling Services
4014 Mountville Road
Jefferson, MD 21755-7713
Mailing address
11718 Scarlet Leaf Cir
Germantown, MD 20876-6049
Phone (301) 503-2854
Other providers in Jefferson, MD
- Karena Roberts
- Sheppard Pratt Health System, Inc
- Sheppard Pratt Health System, Inc.
- Shannon Elizabeth Spady
- Marianna D Taylor
- Sophia Hope Terbush
- Anna Thornton
- Tiny Triumphs, LLC
- Christopher Touzeau
- Mary Yeboah
All providers in Jefferson, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2018. 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.