MEDICARE: MS. VICTORIA MARLENE ORLOFF TILTON MSW,LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCS 15581	CA

General Provider Information

NPI Number	:	1598063968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VICTORIA MARLENE ORLOFF TILTON MSW,LCSW

Provider Business Mailing Address
First Line	:	153 N KELLOGG AVE APT D
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-1667
Country	:	US
Telephone Number	:	805-455-2321
Fax Number	:

Provider Business Practice Location Address
First Line	:	3585 MAPLE ST STE 255
Second Line	:
City	:	VENTURA
State	:	CA
Zip	:	93003-9147
Country	:	US
Telephone Number	:	805-455-2321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2011
Last Update Date	:	12/10/2016

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