Individual provider Active NPI

Tori Croshaw

  • Social Worker
  • Eagle, ID
National Provider Identifier
1043552524
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-38021 Issued in ID
Practice address
372 S Eagle Rd Ste 190
Eagle, ID 83616
Phone
(303) 330-3694
NPI assigned
Mar 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X
Social Worker 104100000X LMSW-38021 ID Primary

Addresses

Primary practice location

372 S Eagle Rd Ste 190
Eagle, ID 83616

Mailing address

372 S Eagle Rd Ste 190
Eagle, ID 83616-5908
Phone (303) 330-3694

Other practice location 1

2229 Hyacinth Rd
Highlands Ranch, CO 80129-6304
Phone (303) 330-3694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-38021IDMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1043552524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 S EAGLE RD STE 190",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165908",
            "telephone_number": "303-330-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 S EAGLE RD STE 190",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "303-330-3694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2229 Hyacinth Rd",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801296304",
            "country_code": "US",
            "telephone_number": "303-330-3694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSHAW",
        "first_name": "TORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-38021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.