Southwest Center for Communication Disorders

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-3469 Issued in AZ

Legal business name

SOUTHWEST CENTER FOR COMMUNICATION DISORDERS

Practice address

802 Ainsworth Dr
Suite C
Prescott, AZ 86301-1630

Phone

(928) 777-0172

Fax

(928) 777-0174

NPI assigned

May 15, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Crujido, M.S. CCC-SLP

Title

Owner/Administrator

Phone

(928) 777-0172

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1336190115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 AINSWORTH DR",
            "address_2": "SUITE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011630",
            "telephone_number": "928-777-0172",
            "fax_number": "928-777-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 AINSWORTH DR",
            "address_2": "SUITE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011630",
            "telephone_number": "928-777-0172",
            "fax_number": "928-777-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CENTER FOR COMMUNICATION DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CRUJIDO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "928-777-0172",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-3469",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "0732",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036593",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonora Quest Laboratories LLC (Sonora Quest Laboratories)
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• Michael J Sorensen, M.D.
• Dustin Sorkhpoosh, DO
• Southwest Behavioral Health Services, Inc.
• Southwest Skin & Cancer Institute
• Southwest Skin & Cancer Institute LTD
• Southwest Surgery of Yavapai County, PC
• Southwestern Eye Center LTD
• Southwestern Eye Center, LTD (Southwestern Eye Center - Prescott Optical)

• Clinical Social Worker in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.