Provider Demographics
NPI:1962157768
Name:CROW, LAURA CATHERINE (LISW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:CATHERINE
Last Name:CROW
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 VALLEY BROOK DR SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-1655
Mailing Address - Country:US
Mailing Address - Phone:319-721-6461
Mailing Address - Fax:
Practice Address - Street 1:1811 BOYSON RD STE A
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-1270
Practice Address - Country:US
Practice Address - Phone:319-250-1267
Practice Address - Fax:319-200-4456
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1098881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical