Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TAYLOR RAE, P-LCSW
Deactivated Sole ProprietorMS. TAYLOR RAE, P-LCSW is a Clinical Social Worker healthcare provider located in DONNELLY, Idaho. NPI 1639457559 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · DONNELLY, ID
This NPI has been deactivated.
The record was deactivated on September 23, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639457559
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2011 (13.161643835616 yrs)
- Last Updated
- Feb 4, 2025
- Deactivated
- Sep 23, 2024
- Licenses
-
P-006670 (NC)LCSW36537 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
PO BOX 1192DONNELLY, ID, 836151100Browse ID providers · Browse ZIP 83615
- Phone
- 2539682303
- Fax
- 2539681151
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.