Dara J Taylor, LCSWA

Individual provider Active NPI Clinical Social Worker · Marble, NC

NPI 1891256715 · NPPES record last updated Oct 23, 2019

Key facts

NPI
1891256715
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P013262 (NC)
Practice address
27 Bona Vista Dr
Marble, NC 28905-8646
Phone
(828) 631-3973
Fax
(828) 631-9280
NPI assigned
Mar 26, 2019
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

LicenseStateTypeSpecialty
P013262NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P013262 NC Yes

Addresses

Primary practice location

27 Bona Vista Dr
Marble, NC 28905-8646

Mailing address

PO Box 2187
Sylva, NC 28779-2187
Phone (828) 631-3973

Other providers in Marble, NC

All providers in Marble, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.