Provider Demographics
NPI:1568693208
Name:FURBRINGER, TONI (LCSW)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:FURBRINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:791 CRESTBROOK LOOP
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-2959
Mailing Address - Country:US
Mailing Address - Phone:407-323-9961
Mailing Address - Fax:407-339-1008
Practice Address - Street 1:310 WAYMONT CT
Practice Address - Street 2:SUITE 104
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3475
Practice Address - Country:US
Practice Address - Phone:407-323-9961
Practice Address - Fax:407-339-1008
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 52341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical