Provider Demographics
NPI:1124167523
Name:PIGNATO, TONYA MENZ SR (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:MENZ
Last Name:PIGNATO
Suffix:SR
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 WHIPPOORWILL ISLE N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5247
Mailing Address - Country:US
Mailing Address - Phone:561-432-3010
Mailing Address - Fax:561-333-4957
Practice Address - Street 1:5700 LAKE WORTH RD
Practice Address - Street 2:SUITE 112
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-4727
Practice Address - Country:US
Practice Address - Phone:561-432-3010
Practice Address - Fax:561-333-4957
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 40921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical