Provider Demographics
NPI:1518536937
Name:CRANSHAW, CORDELIA (LCSW)
Entity type:Individual
Prefix:
First Name:CORDELIA
Middle Name:
Last Name:CRANSHAW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2813 TOLES PARK DR
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-1611
Mailing Address - Country:US
Mailing Address - Phone:571-268-0258
Mailing Address - Fax:
Practice Address - Street 1:2813 TOLES PARK DR
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-1611
Practice Address - Country:US
Practice Address - Phone:571-268-0258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health