Provider Demographics
NPI:1447688999
Name:TAYLOR, RISHAY (LMSW)
Entity type:Individual
Prefix:
First Name:RISHAY
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:SHAY
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4920 INSKIP RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-3241
Mailing Address - Country:US
Mailing Address - Phone:865-309-5056
Mailing Address - Fax:
Practice Address - Street 1:3232 TAZEWELL PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-2503
Practice Address - Country:US
Practice Address - Phone:865-309-5056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-21
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X, 171M00000X
TN89751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator