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

Theonica Taylor, SST

Individual provider Social Worker · NPI 1154009611

Theonica Taylor, SST is a Social Worker in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

14799 Dix Toledo Rd
Southgate, MI 48195-2507
Phone: (734) 324-8326
Fax: (734) 324-8327
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X (MI)

Record details

NPI number1154009611
Entity typeIndividual (Type 1)
GenderFemale
Credentials SST
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing address14799 Dix Toledo Rd, Southgate, MI 48195-2507

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