Taylor Walling, LGSW
Individual provider Active NPI Social Worker · Esko, MN
NPI 1902348949 · NPPES record last updated Nov 8, 2016
Key facts
- NPI
- 1902348949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 23127 (MN)
- Practice address
- 3 Keanu LN
Esko, MN 55733 - Phone
- (651) 470-8247
- NPI assigned
- Nov 8, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 23127 | MN | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 23127 | MN | Yes |
Addresses
Primary practice location
3 Keanu LN
Esko, MN 55733
Mailing address
3 Keanu LN
Esko, MN 55733
Other names
- Taylor Dimmick
Other providers in Esko, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2016. 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.