Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXIS KAELIN TAYLOR, LICSW
Deactivated Sole ProprietorALEXIS KAELIN TAYLOR, LICSW is a Clinical Social Worker healthcare provider located in BURNSVILLE, Minnesota. NPI 1760102891 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · BURNSVILLE, MN
This NPI has been deactivated.
The record was deactivated on January 6, 2023.
Deactivated NPIs are no longer valid for billing or credentialing.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
- 1760102891
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2022 (0.35342465753425 yrs)
- Last Updated
- Jun 27, 2025
- Deactivated
- Jan 6, 2023
- License
-
29955 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12400 PORTLAND AVE STE 180BURNSVILLE, MN, 553376875Browse MN providers · Browse ZIP 55337
- Phone
- 9522227704
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BURNSVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| MS. LOIS A KEMMET | LICSW | 1619951381 |
| MRS. PATRICIA MARIE MEHRHOFF | MSW | 1124053756 |
| MS. JANEE MARIE ANEZ | LICSW | 1396826434 |
| JENNIFER LYNN SCHUETTE | LICSW | 1265503502 |
| ELAINE VIVIAN HUSELID | M.ED | 1316000797 |
| STEPHANIE SLIGO-BAKER | M.S.W | 1861543894 |
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.