Provider Demographics
NPI:1720214307
Name:NORFORD-CROSBY GROUP
Entity Type:Organization
Organization Name:NORFORD-CROSBY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW
Authorized Official - Phone:434-293-0700
Mailing Address - Street 1:198 SPOTNAP RD
Mailing Address - Street 2:SUITE A1
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8614
Mailing Address - Country:US
Mailing Address - Phone:434-293-0700
Mailing Address - Fax:434-295-7231
Practice Address - Street 1:198 SPOTNAP RD
Practice Address - Street 2:SUITE A1
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8614
Practice Address - Country:US
Practice Address - Phone:434-293-0700
Practice Address - Fax:434-295-7231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040036871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty