Provider Demographics
NPI:1902135775
Name:TORRES, SONIA CRUZ (LCSW)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:CRUZ
Last Name:TORRES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 S MAYFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60644-5355
Mailing Address - Country:US
Mailing Address - Phone:312-758-9444
Mailing Address - Fax:773-376-8845
Practice Address - Street 1:2001 S CALIFORNIA AVE STE 100
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-2486
Practice Address - Country:US
Practice Address - Phone:773-584-6132
Practice Address - Fax:773-376-8845
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490117761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical