Provider Demographics
NPI:1558905489
Name:BROPHY, SONYA (LCSW)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:BROPHY
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 E 2ND AVE STE 271
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5488
Mailing Address - Country:US
Mailing Address - Phone:970-426-0636
Mailing Address - Fax:970-844-1722
Practice Address - Street 1:835 E 2ND AVE STE 271
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5488
Practice Address - Country:US
Practice Address - Phone:970-426-0636
Practice Address - Fax:970-844-1722
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099259141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical