Penny Irene Toman, MSW, LCSW, CCM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13769 Issued in FL

Practice address

21 W Fee Ave Ste C
Melbourne, FL 32901

Phone

(321) 795-0738

Fax

(321) 951-3987

NPI assigned

Jul 14, 2015

Last updated

Jul 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531008000000",
    "number": "1063896652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W FEE AVE STE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014476",
            "telephone_number": "321-795-0738",
            "fax_number": "321-951-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W FEE AVE STE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-795-0738",
            "fax_number": "321-951-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMAN",
        "first_name": "PENNY",
        "middle_name": "IRENE",
        "credential": "MSW, LCSW, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2018-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Berry Todisco, LMT
• Leslie Ann Todisco, RBT
• Thomas Tolles
• Lindy Tolleson, D.C.
• Norman Paul Tomaka, MS PHARM, CPH, LHRM
• Jake Tomaschko, LMT
• Mason Tomasek, DC
• Teresa Marie Tomerlin, PHARMD.
• Jeanice Tomlinson
• Top Tier Sports Medicine LLC

• Clinical Social Worker in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.