Provider Demographics
NPI:1588733802
Name:ONKKA, TONI M (LCSW)
Entity type:Individual
Prefix:MS
First Name:TONI
Middle Name:M
Last Name:ONKKA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TONI
Other - Middle Name:M
Other - Last Name:ONKKA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1754 E BULLARD AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5865
Mailing Address - Country:US
Mailing Address - Phone:559-999-1171
Mailing Address - Fax:559-272-0431
Practice Address - Street 1:7300 N FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2941
Practice Address - Country:US
Practice Address - Phone:559-448-5301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 20402104100000X
CALCSW204021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical