Provider Demographics
NPI:1053919605
Name:ALMAN MCRAE, ANA SOPHIA (LICSW)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:SOPHIA
Last Name:ALMAN MCRAE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 DEAN PKWY APT 109
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-4442
Mailing Address - Country:US
Mailing Address - Phone:612-200-3440
Mailing Address - Fax:
Practice Address - Street 1:2920 DEAN PKWY APT 109
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-4442
Practice Address - Country:US
Practice Address - Phone:612-200-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN266681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical