Provider Demographics
NPI:1942005038
Name:COUTTS, TAYLOR GEORGINA (ASW)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:GEORGINA
Last Name:COUTTS
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:GEORGINA
Other - Last Name:MANNION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2108 N ST # 6933
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5712
Mailing Address - Country:US
Mailing Address - Phone:650-268-5258
Mailing Address - Fax:
Practice Address - Street 1:2108 N ST # 6933
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5712
Practice Address - Country:US
Practice Address - Phone:650-268-5258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1083651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical