Taggart, Suzanne

Taggart, Suzanne is an individual health care provider with primary practice located at 1905 Stadium Blvd , Jefferson City MO 65109-1961. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Taggart, Suzanne can be contacted via phone (888) 403-1071.

Contact Information

Primary practice address
1905 Stadium Blvd Jefferson City MO 65109-1961
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 004915 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 004915 Missouri

Profile Details

NPI number 1891765566
LBN Legal business name Taggart, Suzanne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 17th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891765566 NPPES
Missouri MEDICAID 494972706

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