Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taylor Nicole Hattersley, LCSW

Individual provider Behavior Technician · NPI 1164910642

Taylor Nicole Hattersley, LCSW is a Behavior Technician in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

775 Sunrise Ave Ste 110
Roseville, CA 95661-4527
Phone: (916) 475-8788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 114067 (CA)
Behavior Technician Taxonomy 106S00000X · Licence RBT-18-50740 (CA)

Record details

NPI number1164910642
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 30, 2018
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

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