Healthcare Provider Details

I. General information

NPI: 1013419803
Provider Name (Legal Business Name): MRS. SHARITA VIVIAN CRAWFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARITA VIVIAN MARSHALL LCSW

II. Dates (important events)

Enumeration Date: 03/07/2018
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 LITTLE FALLS ST STE 206
FALLS CHURCH VA
22046-4323
US

IV. Provider business mailing address

140 LITTLE FALLS ST STE 206
FALLS CHURCH VA
22046-4323
US

V. Phone/Fax

Practice location:
  • Phone: 703-993-0589
  • Fax: 571-370-9191
Mailing address:
  • Phone: 703-993-0589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberPPS0605016
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: