Individual ProviderSofia GentrySocial WorkerBehavioral Health & Social Service ProvidersPractice Address155 Boardwalk Dr Ste 400, Fort Collins, CO 80525-3040(970) 673-7084PECOS EnrollmentBased on the most recent information from CMS, provider Sofia Gentry does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1033861752Provider TypeIndividualFull NameGentry, SofiaCredentialMSW, LCSWGenderFemaleSole ProprietorYesEnumeration Date1/24/2022Last Updated6/2/2024Contact InformationPractice LocationPractice Address155 Boardwalk Dr Ste 400, Fort Collins, CO 80525-3040Phone(970) 673-7084FaxUnlisted FaxMailing LocationMailing Address155 Boardwalk Dr Ste 400, Fort Collins, CO 80525-3040Phone(970) 673-7084FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCSW.09930490Colorado