Individual provider · Type 1 NPI
Lisa D. Taylor, PhD, TLP, LCSW
Clinical Social Worker · Avondale Estates, GA
Practice location
652 PO Box
Avondale Estates, GA 30002
Mailing address
PO Box 652
Avondale Estates, GA 30002-0652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CSW003493 (GA) |
| Clinical Social Worker | 1041C0700X | 6801084326 (MI) |
| Psychologist | 103T00000X | 6362009715 (MI) |
| School Social Worker | 1041S0200X | 400719 (GA) |
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 1396973988
Lisa D. Taylor, PhD, TLP, LCSW's National Provider Identifier is 1396973988, issued on Jun 23, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Avondale Estates, GA. The record was last updated on Oct 14, 2025.