Provider Demographics
NPI:1679083455
Name:TAPP, TAYLOR LYNN (LSW)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:LYNN
Last Name:TAPP
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 CHAPMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-1642
Mailing Address - Country:US
Mailing Address - Phone:609-226-3294
Mailing Address - Fax:
Practice Address - Street 1:10 E 9TH ST
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:NJ
Practice Address - Zip Code:08226-3444
Practice Address - Country:US
Practice Address - Phone:609-226-3294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06305400104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker