Provider Demographics
NPI:1598063968
Name:ORLOFF TILTON, VICTORIA MARLENE (MSW,LCSW)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:MARLENE
Last Name:ORLOFF TILTON
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 N KELLOGG AVE APT D
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1667
Mailing Address - Country:US
Mailing Address - Phone:805-455-2321
Mailing Address - Fax:
Practice Address - Street 1:3585 MAPLE ST STE 255
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-9147
Practice Address - Country:US
Practice Address - Phone:805-455-2321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2016-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 155811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical