Healthcare Provider Details

I. General information

NPI: 1023633740
Provider Name (Legal Business Name): VALERIE TOIVONEN LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2020
Last Update Date: 06/09/2020
Certification Date: 06/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3433 AGLER RD STE 2800
COLUMBUS OH
43219-3389
US

IV. Provider business mailing address

2780 AIRPORT DR STE 100
COLUMBUS OH
43219-2289
US

V. Phone/Fax

Practice location:
  • Phone: 614-645-1600
  • Fax: 614-645-5517
Mailing address:
  • Phone: 614-645-5500
  • Fax: 614-645-5517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2004919
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: