Mrs Evelyn Lorisa Taylor, LCSW is a
Social Worker - Clinical based in Trumann, Arkansas. Mrs Evelyn Lorisa Taylor is licensed to practice in Arkansas (license number 7144-C) and her current practice location is
1704 Hwy 69 West, Trumann, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 483-4003.
NPI number for Mrs Evelyn Lorisa Taylor is 1679623763 and her current mailing address is 1815 Pleasant Grove Rd, Jonesboro, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679623763.
Healthcare Provider's Profile
| Full Name | Mrs Evelyn Lorisa Taylor |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1704 Hwy 69 West, Trumann, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679623763
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 05/16/2018
Medical Identifiers
Medical identifiers for Mrs Evelyn Lorisa Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679623763 | NPI | - | NPPES |
| 5CC77 | Other | AR | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LSW0000004502 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7144-C (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Evelyn Lorisa Taylor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Evelyn Lorisa Taylor, LCSW
1815 Pleasant Grove Rd,
Jonesboro, AR 72401-7870
Ph: (870) 933-6886 | Mrs Evelyn Lorisa Taylor, LCSW
1704 Hwy 69 West,
Trumann, AR 72472-2029
Ph: (870) 483-4003 |
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