Provider Demographics
NPI:1225370323
Name:TAYLOR, SHIRLITTA A (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHIRLITTA
Middle Name:A
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SHIRLITTA
Other - Middle Name:A
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:11642 WEST FLORISSATN
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-6723
Mailing Address - Country:US
Mailing Address - Phone:314-838-8220
Mailing Address - Fax:314-838-4007
Practice Address - Street 1:11642 WEST FLORISSATN
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-6723
Practice Address - Country:US
Practice Address - Phone:314-838-8220
Practice Address - Fax:314-838-4007
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0043461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical