Healthcare Provider Details

I. General information

NPI: 1801344197
Provider Name (Legal Business Name): TONI HUFFMAN LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2016
Last Update Date: 09/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23704 OCEAN GTWY
MARDELA SPRINGS MD
21837-2101
US

IV. Provider business mailing address

1013 N SCHUMAKER DR
SALISBURY MD
21804-8730
US

V. Phone/Fax

Practice location:
  • Phone: 410-860-5133
  • Fax:
Mailing address:
  • Phone: 443-735-4103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number21527
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: