Active NPIIndividual providerSole proprietor

Taylor St Jacques, LICSW

Social Worker, Clinical in Andover, New Hampshire

NPI Number1679054373
Practice location
665 Flaghole RD, Andover, NH 03216-4138
Fax
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Last updated
June 27, 2023

Taylor St Jacques is a Social Worker, Clinical based in Andover, NH. Taylor St Jacques practices in Andover, NH and has the professional credentials of LICSW. The NPI Number for Taylor St Jacques is 1679054373 and holds a License No. 3002 (NH). The current practice location address for Taylor St Jacques is 665 Flaghole RD, Andover, NH 03216-4138 and can be reached out via phone at 603-454-8172.

Provider Profile Details

NPI Number
1679054373
Provider Name
Taylor St Jacques
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
665 Flaghole RD, Andover, NH 03216-4138
Phone Number
603-454-8172
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 22, 2018
Last Update Date
June 27, 2023
Certification Date
June 27, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
665 Flaghole RD
Andover, NH 03216-4138
Zip
03216-4138
Phone Number
603-454-8172
Andover, NH 03216Get directions →

Provider Business Mailing Address Details

Address
100 Hall St
Concord, NH 03301-3408
City
Concord
State
NH
Zip
03301-3408
Phone Number
603-229-4260

License Information

License Number
3002
License State
NH
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Taylor St Jacques, LICSW?

The NPI number of Taylor St Jacques, LICSW is 1679054373. It was assigned on August 22, 2018 and is currently active in the NPPES registry.

What is the specialty of Taylor St Jacques, LICSW?

Taylor St Jacques, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NH under license number 3002.

Where does Taylor St Jacques, LICSW practice?

The practice location is 665 Flaghole RD, Andover, NH 03216-4138. The office can be reached at 603-454-8172 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679054373 directly on the NPPES registry website.

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