Provider Demographics
NPI:1013419803
Name:CRAWFORD, SHARITA VIVIAN
Entity type:Individual
Prefix:MRS
First Name:SHARITA
Middle Name:VIVIAN
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SHARITA
Other - Middle Name:VIVIAN
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8270 WILLOW OAKS CORPORATE DRIVE
Mailing Address - Street 2:OFFICE OF SOCIAL WORK
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:140 LITTLE FALLS ST STE 206
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4323
Practice Address - Country:US
Practice Address - Phone:703-993-0589
Practice Address - Fax:571-370-9191
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAPPS06050161041S0200X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool