MEDICARE: MS. TONI RAQUEL NOKES LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC07470500	NJ

General Provider Information

NPI Number	:	1720282221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TONI RAQUEL NOKES LCSW

Provider Business Mailing Address
First Line	:	2340 US HIGHWAY 9
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-4016
Country	:	US
Telephone Number	:	732-942-6868
Fax Number	:	732-987-9769

Provider Business Practice Location Address
First Line	:	2340 US HIGHWAY 9
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-4016
Country	:	US
Telephone Number	:	732-942-6868
Fax Number	:	732-987-9769

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	12/07/2023

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