MEDICARE: MRS. TOYAE LIVERPOOL 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	058131	NY

General Provider Information

NPI Number	:	1790193837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TOYAE LIVERPOOL LCSW

Provider Business Mailing Address
First Line	:	54 MAIN ST STE 201
Second Line	:
City	:	TARRYTOWN
State	:	NY
Zip	:	10591-3660
Country	:	US
Telephone Number	:	914-585-6682
Fax Number	:	914-595-4236

Provider Business Practice Location Address
First Line	:	54 MAIN ST STE 201
Second Line	:
City	:	TARRYTOWN
State	:	NY
Zip	:	10591-3660
Country	:	US
Telephone Number	:	914-595-6682
Fax Number	:	914-595-4236

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

Provider Enumeration Date	:	07/31/2014
Last Update Date	:	11/07/2024

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