Provider Demographics
NPI:1427404656
Name:TAYLOR, KAREN RUTH (LCSW-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:RUTH
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 S. CHARLES ST. FUTURE PATH COLLABORATIVE
Mailing Address - Street 2:STE 1437
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207
Mailing Address - Country:US
Mailing Address - Phone:860-948-0729
Mailing Address - Fax:
Practice Address - Street 1:20 S. CHARLES ST. FUTURE PATH COLLABORATIVE
Practice Address - Street 2:STE 1437
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207
Practice Address - Country:US
Practice Address - Phone:860-948-0729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-06
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD184781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical