Provider Demographics
NPI:1548613508
Name:TOGBA-DOYA, CALANDRA JOHNSON (LCSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:CALANDRA
Middle Name:JOHNSON
Last Name:TOGBA-DOYA
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 KIOWA DR NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7223
Mailing Address - Country:US
Mailing Address - Phone:706-389-4198
Mailing Address - Fax:770-693-0157
Practice Address - Street 1:733 KIOWA DR NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7223
Practice Address - Country:US
Practice Address - Phone:706-389-4198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-14
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC2000024881041C0700X
GACSW0060201041C0700X, 104100000X
GA13813601041S0200X
GA0060201041C0700X
MA1263351041C0700X
VA09040145511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No104100000XBehavioral Health & Social Service ProvidersSocial Worker