Provider Demographics
NPI:1427110345
Name:PERRY, TONI C (LCSW)
Entity type:Individual
Prefix:MS
First Name:TONI
Middle Name:C
Last Name:PERRY
Suffix:
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 1:278 MERIDIAN ST
Mailing Address - Street 2:APT. 16
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-4039
Mailing Address - Country:US
Mailing Address - Phone:860-961-5422
Mailing Address - Fax:
Practice Address - Street 1:41 FAIR HARBOUR PL
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-4710
Practice Address - Country:US
Practice Address - Phone:860-437-6914
Practice Address - Fax:860-437-6920
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical