Provider Demographics
NPI:1831248319
Name:TOTH, STEPHEN DANIEL (MSW, LISW)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:DANIEL
Last Name:TOTH
Suffix:
Gender:M
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6827 N HIGH ST
Mailing Address - Street 2:SUITE 121
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2517
Mailing Address - Country:US
Mailing Address - Phone:614-436-5070
Mailing Address - Fax:614-436-4619
Practice Address - Street 1:6827 N HIGH ST
Practice Address - Street 2:SUITE 121
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2517
Practice Address - Country:US
Practice Address - Phone:614-436-5070
Practice Address - Fax:614-436-4619
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00042861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHTOSW26411Medicare PIN
OHSTSP04891Medicare PIN