Provider Demographics
NPI:1124214754
Name:TOSHKOV, FANY STEFANOVA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:FANY
Middle Name:STEFANOVA
Last Name:TOSHKOV
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13300 HAWTHORNE BLVD
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-5805
Mailing Address - Country:US
Mailing Address - Phone:310-679-3321
Mailing Address - Fax:310-676-4020
Practice Address - Street 1:13300 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-5805
Practice Address - Country:US
Practice Address - Phone:310-679-3321
Practice Address - Fax:310-676-4020
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 240051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical