Taylor, Gregory Scott

Taylor, Gregory Scott is an sole proprietor health care provider with primary practice located at 1874 Se Port St Lucie Blvd , Port St Lucie FL 34952-5545. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Taylor, Gregory Scott can be contacted via phone (772) 337-7676.

Contact Information

Primary practice address
1874 Se Port St Lucie Blvd Port St Lucie FL 34952-5545
Fax: (772) 337-9034
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW830 Florida

Profile Details

NPI number 1720163983
LBN Legal business name Taylor, Gregory Scott
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated May 10th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720163983 NPPES
Florida Other Z154G FLORIDA BCBS
Florida Other AK132Z FLORIDA BCBS

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