Provider Demographics
NPI:1093479198
Name:WHITFORD, VIRGINIA (LMSW)
Entity type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:
Last Name:WHITFORD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:WHITFORD-ANKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2554 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:ORISKANY FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13425-3624
Mailing Address - Country:US
Mailing Address - Phone:315-269-3747
Mailing Address - Fax:
Practice Address - Street 1:100 LOMOND CT
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-5956
Practice Address - Country:US
Practice Address - Phone:315-235-7793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071827-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker