Provider Demographics
NPI:1295146363
Name:MANTEO, TORI ANNA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TORI
Middle Name:ANNA
Last Name:MANTEO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TORI
Other - Middle Name:ANNA
Other - Last Name:HARTMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:81 HIGHLAND AVE
Mailing Address - Street 2:NSMC SALEM HOSPITAL AXLEROD BLDG. 7 EAST
Mailing Address - City:SALAM
Mailing Address - State:MA
Mailing Address - Zip Code:01970
Mailing Address - Country:US
Mailing Address - Phone:978-825-6369
Mailing Address - Fax:978-354-4482
Practice Address - Street 1:41 MASON ST
Practice Address - Street 2:UNIT 4
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2260
Practice Address - Country:US
Practice Address - Phone:978-744-1585
Practice Address - Fax:978-744-1379
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health