Provider Demographics
NPI:1225327034
Name:TOKER, DEBRA E (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:E
Last Name:TOKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:TOKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1732 68TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-5005
Mailing Address - Country:US
Mailing Address - Phone:347-721-5093
Mailing Address - Fax:
Practice Address - Street 1:1732 68TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-5005
Practice Address - Country:US
Practice Address - Phone:347-721-5093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073859104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker