Provider Demographics
NPI:1326169830
Name:TONTI, LORI JANE (MSW,LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:JANE
Last Name:TONTI
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:MISS
Other - First Name:LORI
Other - Middle Name:JANE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1516 HWY 138
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:WALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3700
Mailing Address - Country:US
Mailing Address - Phone:732-280-3788
Mailing Address - Fax:
Practice Address - Street 1:1516 HWY 138
Practice Address - Street 2:SUITE 2B
Practice Address - City:WALL
Practice Address - State:NJ
Practice Address - Zip Code:07719-3700
Practice Address - Country:US
Practice Address - Phone:732-280-3788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC008416001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical