Provider Demographics
NPI:1669210332
Name:CRAWFORD, TODD J (LIP, LMSW)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:J
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:LIP, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7315 EBBTIDE DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-2057
Mailing Address - Country:US
Mailing Address - Phone:504-444-6257
Mailing Address - Fax:
Practice Address - Street 1:1530 GRAVIER ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2104
Practice Address - Country:US
Practice Address - Phone:504-982-0041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW009400104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker