Provider Demographics
NPI:1669699401
Name:CROFFORD, BARBARA JO (LCSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JO
Last Name:CROFFORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 VAN BUREN PL
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-2826
Mailing Address - Country:US
Mailing Address - Phone:310-281-8335
Mailing Address - Fax:
Practice Address - Street 1:3940 VAN BUREN PL
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2826
Practice Address - Country:US
Practice Address - Phone:310-281-8335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS172501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical