Provider Demographics
NPI:1457141962
Name:TAYLOR-SLEDGE, TAIJAH (LMSW)
Entity type:Individual
Prefix:
First Name:TAIJAH
Middle Name:
Last Name:TAYLOR-SLEDGE
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11950 DREXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PRINCESS ANNE
Mailing Address - State:MD
Mailing Address - Zip Code:21853-2733
Mailing Address - Country:US
Mailing Address - Phone:443-397-8934
Mailing Address - Fax:
Practice Address - Street 1:1631 MIDTOWN PL STE 104
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-1300
Practice Address - Country:US
Practice Address - Phone:984-218-4675
Practice Address - Fax:919-882-0986
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD330711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical