Provider Demographics
NPI:1477541613
Name:TOY, ALLEN MONROE II (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:MONROE
Last Name:TOY
Suffix:II
Gender:M
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:PO BOX 8042
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47716-8042
Mailing Address - Country:US
Mailing Address - Phone:812-598-3199
Mailing Address - Fax:
Practice Address - Street 1:4727 ROSEBUD LN STE F
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-9367
Practice Address - Country:US
Practice Address - Phone:812-429-0772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003066A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN00000354316OtherBC
IN742907000OtherMAGELLAN
IN221460AMedicare PIN