Mary Jo Todoran, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003556A Issued in IN

Practice address

10355 Dawsons Creek Blvd
Suite E
Fort Wayne, IN 46825-1903

Phone

(260) 438-8200

Fax

(260) 490-3160

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Parkview Hospital, Inc.

  • Trauma Surgery Physician
  • Fort Wayne, IN
  • NPI 1669576997
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1669507885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10355 DAWSONS CREEK BLVD",
            "address_2": "SUITE E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251903",
            "telephone_number": "260-438-8200",
            "fax_number": "260-490-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10355 DAWSONS CREEK BLVD",
            "address_2": "SUITE E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251903",
            "telephone_number": "260-438-8200",
            "fax_number": "260-490-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODORAN",
        "first_name": "MARY JO",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003556A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TMJ & Sleep Therapy Centre of Fort Wayne, LLC
• Jennifer L Tobin, PA
• Sandra J Tobin, MA, LMHC, LSW, CEAP
• Todd Saalfrank DDS PC
• Eric Todd, MD
• Nicholas Todoran, MSW
• Michael Todt
• Fred Toenges
• Toes R US
• Toes R US, Inc.

• Clinical Social Worker in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.