Individual provider · Type 1 NPI

Ericniesha Taylor, LCSW-C, LICSW

Clinical Social Worker · Shaw Afb, SC

NPI number 1023557170 Active

Practice location

420 Polifka Dr
Shaw Afb, SC 29152-5100

Other practice locations

  • 1061 Harmon Ave, Fort Stewart, GA 31314-5641 · (912) 435-6965
  • 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-9908 · (210) 292-5972

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW61040860 (WA)
Clinical Social Worker 1041C0700X21703 (MD)
Community/Behavioral Health Agency 251S00000XSC60721786 (WA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1023557170

Ericniesha Taylor, LCSW-C, LICSW's National Provider Identifier is 1023557170, issued on Feb 21, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shaw Afb, SC. The record was last updated on Sep 9, 2026.