National Provider Identifier
Traci Davis-Taylor, LCSW
Traci Davis-Taylor, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Brockport, NY and a listed phone number of (716) 940-9109.
Profile Overview
- NPI
- 1598385437
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- April 21, 2020
- Last Updated
- April 21, 2020
Practice Location
- 122 Viking Way
- Brockport, NY 14420-2405
Phone: (716) 940-9109
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1598385437
- Entity Type
- Individual
- Last Name
- Davis-Taylor
- First Name
- Traci
- Credential
- LCSW
- Mailing Street Address
- 122 Viking Way
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2405
- Mailing Country
- US
- Mailing Phone
- (716) 940-9109
- Practice Street Address
- 122 Viking Way
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2405
- Practice Country
- US
- Practice Phone
- (716) 940-9109
- Enumeration Date
- April 21, 2020
- Last Updated
- April 21, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 21, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)