Glenda E Cruz Juarez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9077-C Issued in NV

Practice address

4170 S Decatur Blvd Ste C1
Las Vegas, NV 89103-5863

Phone

(702) 659-8827

Fax

(702) 852-0984

NPI assigned

Oct 22, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthcare Partners Medical Group (Coats) LTD.

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1902883341
  NPD (past)
• Lewis Therapy and Wellness Dba Veridian Wellness

  • Mental Health Counselor
  • Henderson, NV
  • NPI 1972261295
  NPD (past)
• Nueva Vida Mental Health LLC

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1598015240
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1003116146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 S DECATUR BLVD STE C1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035863",
            "telephone_number": "702-659-8827",
            "fax_number": "702-852-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 S DECATUR BLVD STE C1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035863",
            "telephone_number": "702-659-8827",
            "fax_number": "702-852-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ JUAREZ",
        "first_name": "GLENDA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "7806-S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9077-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Janeth Cruz Branscombe
• Marilyn Cruz Flores, RN
• Yuset Cruz Gali
• Minerva Cruz Garcia
• Jessica Cruz Gonzalez
• Jeyma Cruz Madruga
• Jessica Cruz Mercado, CCC-SLP
• Herlinda Cruz Miranda
• Yaimaris Cruz Molina
• Ediltrudis Magaly Cruz Ozawa, BS

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.