Provider Demographics
NPI:1871947002
Name:STOREY, TAYLOR (MSW, ACSW)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:STOREY
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 ARBUTUS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3522
Mailing Address - Country:US
Mailing Address - Phone:530-933-1204
Mailing Address - Fax:
Practice Address - Street 1:101 SILVER DOLLAR WAY
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-4402
Practice Address - Country:US
Practice Address - Phone:530-891-9048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA909391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical