Healthcare Provider Details

I. General information

NPI: 1962332965
Provider Name (Legal Business Name): VICTORIA MARIE CROW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 BELL ST
WEIRTON WV
26062-3318
US

IV. Provider business mailing address

123 BELL ST
WEIRTON WV
26062-3318
US

V. Phone/Fax

Practice location:
  • Phone: 304-312-1691
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCP00944937
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: