Provider Demographics
NPI:1447551239
Name:DELORENZO, TONI JEAN (MSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:TONI JEAN
Middle Name:
Last Name:DELORENZO
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 NEHOIDEN RD
Mailing Address - Street 2:
Mailing Address - City:WABAN
Mailing Address - State:MA
Mailing Address - Zip Code:02468-1926
Mailing Address - Country:US
Mailing Address - Phone:617-620-7848
Mailing Address - Fax:
Practice Address - Street 1:210 HERRICK RD
Practice Address - Street 2:
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459-2248
Practice Address - Country:US
Practice Address - Phone:617-964-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1006361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical