Ericniesha Taylor, LCSW-C, LICSW is a
General Practice based in Jbsa Lackland, Texas. Ericniesha Taylor is licensed to practice in Washington (license number LW61040860) and her current practice location is
1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 292-5972.
NPI number for Ericniesha Taylor is 1023557170 and her current mailing address is 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023557170.
Healthcare Provider's Profile
| Full Name | Ericniesha Taylor |
|---|
| Gender | Female |
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| Speciality | General Practice |
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| Location | 1100 Wilford Hall Loop, Jbsa Lackland, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023557170
- Provider Enumeration Date: 02/21/2017
- Last Update Date: 06/19/2025
Medical Identifiers
Medical identifiers for Ericniesha Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023557170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 21703 (Maryland) | Secondary |
| 251S00000X | Community/behavioral Health | SC60721786 (Washington) | Secondary |
| 208D00000X | General Practice | LW61040860 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ericniesha Taylor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ericniesha Taylor, LCSW-C, LICSW
1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme,
Jbsa Lackland, TX 78236-9908
Ph: (210) 292-5972 | Ericniesha Taylor, LCSW-C, LICSW
1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme,
Jbsa Lackland, TX 78236-9908
Ph: (210) 292-5972 |
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