Elizabeth Cruz
Individual provider Active NPI Clinical Social Worker · Santa Monica, CA
NPI 1003140252 · NPPES record last updated Feb 2, 2016
Key facts
- NPI
- 1003140252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 69997 (CA)
- Practice address
- 1533 Euclid Street
Santa Monica, CA 90404 - Phone
- (310) 451-9747
- Fax
- (310) 451-6106
- NPI assigned
- Sep 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69997 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 69997 | CA | Yes |
Addresses
Primary practice location
1533 Euclid Street
Santa Monica, CA 90404
Mailing address
1533 Euclid Street
Santa Monica, CA 90404
Phone (310) 451-9747
Other providers in Santa Monica, CA
- Natalie Crosby
- Daniel John Crossman
- Ian Thomas Crumm
- Giovani Valentin Cruz Cruz
- Angelica Cruz
- Crystal Litak, M.D., Inc
- CS Medical Group Inc
- Natasha Cueto
- Lauren Martin Culp
- Cultivating Connection Incorporated
All providers in Santa Monica, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.