Active NPI
Tori Croshaw
- Social Worker
- Eagle, ID
National Provider Identifier
1043552524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-38021
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-38021 | ID | MD | Social 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.