Provider Demographics
NPI:1265830905
Name:TEIXEIRA, TONIANN (LCSW)
Entity Type:Individual
Prefix:
First Name:TONIANN
Middle Name:
Last Name:TEIXEIRA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TONIANN
Other - Middle Name:
Other - Last Name:GENOVESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:60 PACER LN
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-4665
Mailing Address - Country:US
Mailing Address - Phone:908-415-1553
Mailing Address - Fax:
Practice Address - Street 1:60 PACER LN
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-4665
Practice Address - Country:US
Practice Address - Phone:908-415-1553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-11
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055478001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical