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Contact Information

JESSICA TAYLOR
200 MEDICAL VILLAGE DR
EDGEWOOD, KY41017
 Phone: 859-301-5901
 Fax: 859-301-5940
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JESSICA TAYLOR · (Female)

NPI # 1346379351
Status Active
Credentials
Entity Individual
Enumeration date 03/05/2007
Last updated 08/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 3690
  • KY Medicaid 7100387380
  • OH Medicaid 0155008
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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