Provider Demographics
NPI:1942433461
Name:PRESTON, TOSHIA LORENE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TOSHIA
Middle Name:LORENE
Last Name:PRESTON
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 1:6752 LANDOVER CIR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-8492
Mailing Address - Country:US
Mailing Address - Phone:850-445-7137
Mailing Address - Fax:
Practice Address - Street 1:8441 LULA LN
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-9443
Practice Address - Country:US
Practice Address - Phone:850-445-7313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW93341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical