Provider Demographics
NPI:1053373761
Name:TOROK, FERN MAUREEN (MS, LSW)
Entity type:Individual
Prefix:MRS
First Name:FERN
Middle Name:MAUREEN
Last Name:TOROK
Suffix:
Gender:F
Credentials:MS, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 254
Mailing Address - Street 2:396 DELAWARE ROAD
Mailing Address - City:FREDONIA
Mailing Address - State:PA
Mailing Address - Zip Code:16124-0254
Mailing Address - Country:US
Mailing Address - Phone:724-475-4242
Mailing Address - Fax:724-981-7763
Practice Address - Street 1:2201 E STATE ST
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-2727
Practice Address - Country:US
Practice Address - Phone:724-981-1044
Practice Address - Fax:724-981-7763
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011268L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker