Provider Demographics
NPI:1033861752
Name:WEBB, SOFIA (MSW, LSW, CTP)
Entity Type:Individual
Prefix:
First Name:SOFIA
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:MSW, LSW, CTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 BOARDWALK DR # 400-444
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3040
Mailing Address - Country:US
Mailing Address - Phone:970-673-7084
Mailing Address - Fax:
Practice Address - Street 1:155 BOARDWALK DR # 400-444
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3040
Practice Address - Country:US
Practice Address - Phone:970-673-7084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009924415104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker