Provider Demographics
NPI:1801888144
Name:TOOLE, NANCY ELIZABETH (LCSW-R)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ELIZABETH
Last Name:TOOLE
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 REGENT ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-4308
Mailing Address - Country:US
Mailing Address - Phone:518-587-5000
Mailing Address - Fax:518-587-3127
Practice Address - Street 1:142 REGENT ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-4308
Practice Address - Country:US
Practice Address - Phone:518-587-5000
Practice Address - Fax:518-587-3127
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0338361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB4312Medicare UPIN