Provider Demographics
NPI:1184947830
Name:TOMA, LENKA (LCSW)
Entity type:Individual
Prefix:
First Name:LENKA
Middle Name:
Last Name:TOMA
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 1:332 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1517
Mailing Address - Country:US
Mailing Address - Phone:508-752-3969
Mailing Address - Fax:508-752-3967
Practice Address - Street 1:332 MAIN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1517
Practice Address - Country:US
Practice Address - Phone:508-752-3969
Practice Address - Fax:508-752-3967
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2159391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical