Provider Demographics
NPI:1659701530
Name:HERRING, VICTOR B (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:B
Last Name:HERRING
Suffix:
Gender:M
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 1:7500 E. ARAPAHOE RD.,
Mailing Address - Street 2:SUITE 305
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1278
Mailing Address - Country:US
Mailing Address - Phone:303-730-6968
Mailing Address - Fax:
Practice Address - Street 1:7500 E ARAPAHOE RD STE 305
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1278
Practice Address - Country:US
Practice Address - Phone:303-740-7672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9850211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical