Provider Demographics
NPI:1972714723
Name:BRITT, VICTORIA (LSCW, LMFT)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:
Last Name:BRITT
Suffix:
Gender:F
Credentials:LSCW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 GLENRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-3527
Mailing Address - Country:US
Mailing Address - Phone:973-746-5959
Mailing Address - Fax:973-509-9772
Practice Address - Street 1:211 GLENRIDGE AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3527
Practice Address - Country:US
Practice Address - Phone:973-746-5959
Practice Address - Fax:973-509-9772
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC002031001041C0700X
NJ37F100119300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist