Provider Demographics
NPI:1366993545
Name:TAYLOR, ERIN ABBOTT (LMSW)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:ABBOTT
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:ABBOTT
Other - Last Name:WASKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1408 LEGENDS CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-5818
Mailing Address - Country:US
Mailing Address - Phone:785-979-7789
Mailing Address - Fax:785-832-1044
Practice Address - Street 1:4105 W 6TH ST
Practice Address - Street 2:B-9
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4609
Practice Address - Country:US
Practice Address - Phone:785-979-7789
Practice Address - Fax:785-832-1044
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9147104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker