Provider Demographics
NPI:1700088507
Name:LEY, VICTORIA ANN (MSW, LCSW)
Entity Type:Individual
Prefix:MISS
First Name:VICTORIA
Middle Name:ANN
Last Name:LEY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 ORCHARD AVE.
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033
Mailing Address - Country:US
Mailing Address - Phone:610-532-1234
Mailing Address - Fax:
Practice Address - Street 1:300 S CHESTER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-1803
Practice Address - Country:US
Practice Address - Phone:610-504-9970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0157071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical