Provider Demographics
NPI:1053131342
Name:SCHWARTZ, TAYLOR ELISE (LMSW, LGSW)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ELISE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LMSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11730 LIGHTFALL CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4351
Mailing Address - Country:US
Mailing Address - Phone:410-428-1459
Mailing Address - Fax:
Practice Address - Street 1:9891 BROKEN LAND PKWY STE 210
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3001
Practice Address - Country:US
Practice Address - Phone:667-220-7868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-12
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG20003053104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker