Healthcare Provider Details

I. General information

NPI: 1811807357
Provider Name (Legal Business Name): AMALIA CROWE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 7TH ST NW
ROCHESTER MN
55901-1732
US

IV. Provider business mailing address

602 5TH ST SE
DODGE CENTER MN
55927-9141
US

V. Phone/Fax

Practice location:
  • Phone: 507-289-2089
  • Fax: 507-289-5799
Mailing address:
  • Phone: 507-269-6961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number30136
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: