Provider Demographics
NPI:1942585195
Name:CROWE, SOFIA ANNA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SOFIA
Middle Name:ANNA
Last Name:CROWE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SOFIA
Other - Middle Name:ANNA
Other - Last Name:TOLSTOSHEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:155 CALLE PORTAL STE 100
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2900
Mailing Address - Country:US
Mailing Address - Phone:520-515-8673
Mailing Address - Fax:520-515-8663
Practice Address - Street 1:155 CALLE PORTAL STE 700
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635
Practice Address - Country:US
Practice Address - Phone:520-459-0203
Practice Address - Fax:520-515-8663
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ133511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical