Healthcare Provider Details

I. General information

NPI: 1346026408
Provider Name (Legal Business Name): ELIZABETH TOEPLER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 W 74TH ST
NEW YORK NY
10023-2224
US

IV. Provider business mailing address

145 W 74TH ST APT 1A
NEW YORK NY
10023-2261
US

V. Phone/Fax

Practice location:
  • Phone: 240-330-2221
  • Fax:
Mailing address:
  • Phone: 240-330-2221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number121018
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: