Lisa Taylor, LCSW, CSAC

NPI #1073010690 in Chantilly, Virginia

Provider Information

NPI Number: 1073010690
Entity Type: Individual
Name: Lisa Taylor, LCSW, CSAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, CSAC
Enumeration Date: Apr 10, 2018
Last Updated: Apr 10, 2018

Practice Location

Address: 4213 WALNEY RD
City: Chantilly
State: Virginia
ZIP Code: 20151-2923
Phone: (703) 502-7016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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