MRS. DOREEN MARION TAYLOR-SPELLER MS LCADC CSW NPI 1043532542

NPI Information

NPI: 1043532542
Provider Name: MRS. DOREEN MARION TAYLOR-SPELLER, MS, LCADC, CSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
687 FRELINGHUYSEN AVE
1ST FLOOR
NEWARK, NJ
ZIP 07114
Phone: (973) 799-0508
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MRS. Doreen Marion Taylor-speller, MS, LCADC, CSW is an addiction (substance use disorder) counselor in Newark, NJ. MRS. Doreen Marion Taylor-speller, MS, LCADC, CSW NPI is 1043532542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

687 FRELINGHUYSEN AVE
1ST FLOOR
NEWARK, NJ
ZIP 07114-349
Phone: (973) 799-0508

The enumeration date for this NPI number is 2/24/2010 and was last updated on 5/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		44SW04759900	NEW JERSEY	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37LC00197700	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	37LC00197700	OTHER	NEW JERSEY	STATE OF NJ OFFICE OF ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS LCADC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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