1730801325 NPI number — TAYLOR RENEE CARDENAS LCSW

Table of content: TAYLOR RENEE CARDENAS LCSW (NPI 1730801325)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730801325 NPI number — TAYLOR RENEE CARDENAS LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARDENAS
Provider First Name:
TAYLOR
Provider Middle Name:
RENEE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730801325
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
520 W BUCHANAN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MINEOLA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75773-1622
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
701-641-8321
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4144 N CENTRAL EXPY STE 850
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75204-3226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-956-6463
Provider Business Practice Location Address Fax Number:
866-653-5142
Provider Enumeration Date:
09/12/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  66061 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 66061 . This is a "TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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