Provider Demographics
NPI:1790193837
Name:LIVERPOOL, TOYAE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TOYAE
Middle Name:
Last Name:LIVERPOOL
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 1:54 MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3660
Mailing Address - Country:US
Mailing Address - Phone:914-585-6682
Mailing Address - Fax:914-595-4236
Practice Address - Street 1:54 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-3660
Practice Address - Country:US
Practice Address - Phone:914-595-6682
Practice Address - Fax:914-595-4236
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY79630411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical