Provider Demographics
NPI:1437046612
Name:CRAWFORD, TRAVIA (LLMSW CSDC CCTP)
Entity type:Individual
Prefix:
First Name:TRAVIA
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:LLMSW CSDC CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 LARCHMOOR DR.
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114
Mailing Address - Country:US
Mailing Address - Phone:734-883-0760
Mailing Address - Fax:
Practice Address - Street 1:2470 COLLINGWOOD ST STE 227
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48206-1500
Practice Address - Country:US
Practice Address - Phone:734-883-0760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker