Alexis Kaelin Taylor, LICSW
Social Worker, Clinical in Burnsville, MN. Individual provider (NPI-1).
NPI number1760102891
StatusActive
Last updated in NPPESJun 27, 2025
Details
- NPI
- 1760102891
- Entity type
- Individual (NPI-1)
- Name
- Alexis Kaelin Taylor
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2022
- Certification date
- Jun 27, 2025
- Last updated
- Jun 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 29955 | MN | Yes |
Other names
- Alexis Kaelin Johnson (Former Name)
Practice location
12400 Portland Ave Ste 180Burnsville, MN 55337-6875
Phone 952-222-7704
Mailing address
330 S Second Ave Suite 200 #1151Minneapolis, MN 55401
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All 77 Clinical Social Worker providers in Burnsville · All 3,414 providers in Burnsville
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