Provider Demographics
NPI:1801673421
Name:REGISTER, SOPHIE EVELYN (LSW)
Entity type:Individual
Prefix:
First Name:SOPHIE
Middle Name:EVELYN
Last Name:REGISTER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 S UNIVERSITY BLVD APT 421
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-4722
Mailing Address - Country:US
Mailing Address - Phone:931-841-6270
Mailing Address - Fax:
Practice Address - Street 1:7550 E 53RD PL UNIT 5788
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80217-7430
Practice Address - Country:US
Practice Address - Phone:720-654-3322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009925028104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker