Provider Demographics
NPI:1023854866
Name:CRANFORD, VICTORIA (LICSW)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:CRANFORD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:IRVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2127 VESTRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2923
Mailing Address - Country:US
Mailing Address - Phone:205-299-4084
Mailing Address - Fax:
Practice Address - Street 1:2127 VESTRIDGE CT
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-2923
Practice Address - Country:US
Practice Address - Phone:205-299-4084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5776C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical