Provider Demographics
NPI:1427863877
Name:TORUNO TORREZ, MARIO EZEQUIEL (LCSW-A)
Entity type:Individual
Prefix:
First Name:MARIO
Middle Name:EZEQUIEL
Last Name:TORUNO TORREZ
Suffix:
Gender:
Credentials:LCSW-A
Other - Prefix:
Other - First Name:MARIO
Other - Middle Name:EZEQUIEL
Other - Last Name:TORUNO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSWA
Mailing Address - Street 1:145 MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-8590
Mailing Address - Country:US
Mailing Address - Phone:704-880-3836
Mailing Address - Fax:
Practice Address - Street 1:11 UNION ST S STE 200
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-5098
Practice Address - Country:US
Practice Address - Phone:704-918-9741
Practice Address - Fax:704-270-6213
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0188541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical