Provider Demographics
NPI:1457823791
Name:TOOKE, ROY (LLMSW)
Entity Type:Individual
Prefix:MR
First Name:ROY
Middle Name:
Last Name:TOOKE
Suffix:
Gender:M
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 WA WEE NORK DR APT 2B
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-3302
Mailing Address - Country:US
Mailing Address - Phone:269-420-4417
Mailing Address - Fax:
Practice Address - Street 1:36 MANCHESTER ST W
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49037-3016
Practice Address - Country:US
Practice Address - Phone:269-245-3900
Practice Address - Fax:269-245-3899
Is Sole Proprietor?:No
Enumeration Date:2018-12-27
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011000681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical