Provider Demographics
NPI:1447320882
Name:MAILMAN, TOBY FAYE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:TOBY
Middle Name:FAYE
Last Name:MAILMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 6TH AVE
Mailing Address - Street 2:APARTMENT #8
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3506
Mailing Address - Country:US
Mailing Address - Phone:718-638-1480
Mailing Address - Fax:
Practice Address - Street 1:158 6TH AVE
Practice Address - Street 2:APARTMENT #8
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3506
Practice Address - Country:US
Practice Address - Phone:718-638-1480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPO633921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical