Provider Demographics
NPI:1972938066
Name:TOROK, TIFFANY SHAY (LCSW)
Entity type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:SHAY
Last Name:TOROK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TIFFANY
Other - Middle Name:SHAY
Other - Last Name:MARSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:79 MILL ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4468
Mailing Address - Country:US
Mailing Address - Phone:844-767-4448
Mailing Address - Fax:
Practice Address - Street 1:79 MILL ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4468
Practice Address - Country:US
Practice Address - Phone:844-767-4448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-07
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical