Provider Demographics
NPI:1851037261
Name:TOTO, KARLY MORGAN (LSW)
Entity Type:Individual
Prefix:MISS
First Name:KARLY
Middle Name:MORGAN
Last Name:TOTO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEASIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08752-1815
Mailing Address - Country:US
Mailing Address - Phone:848-459-4614
Mailing Address - Fax:
Practice Address - Street 1:35 BEAVERSON BLVD STE 4D
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-7857
Practice Address - Country:US
Practice Address - Phone:908-349-0063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06417500104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker