Lisa D. Taylor, PHD, TLP, LCSW
NPI 1396973988ActiveIndividual· Social Worker, Clinical· Avondale Estates, GA
Social Worker, Clinical (PHD, TLP, LCSW) in Avondale Estates, Georgia, licensed in GA and MI, with an NPI issued in June 2009. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1396973988 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, TLP, LCSW |
| Sole proprietor | Yes |
| NPI issued | Jun 23, 2009 |
| Last updated in NPPES | Oct 14, 2025 |
| Certified by provider | Oct 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | CSW003493 | GA |
| Social Worker, Clinical | 1041C0700X | 6801084326 | MI |
| Psychologist | 103T00000X | 6362009715 | MI |
| Social Worker, School | 1041S0200X | 400719 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (GA) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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