Provider Demographics
NPI:1386235406
Name:MAYFIELD, TAYLOR ANNE (MSSW, LCSW)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ANNE
Last Name:MAYFIELD
Suffix:
Gender:F
Credentials:MSSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5113 PIPER STATION DR STE 104
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-6652
Mailing Address - Country:US
Mailing Address - Phone:704-312-2441
Mailing Address - Fax:980-486-1056
Practice Address - Street 1:5113 PIPER STATION DR STE 104
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-6652
Practice Address - Country:US
Practice Address - Phone:704-312-2441
Practice Address - Fax:980-486-1056
Is Sole Proprietor?:No
Enumeration Date:2021-02-01
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY255298104100000X
NCC0171681041C0700X
OHS.2105882104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical