Shanti Marie Cruz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW13616 Issued in FL

Practice address

6423 NW 30TH Ter
Gainesville, FL 32653-1426

Phone

(786) 355-9346

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1104484252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6423 NW 30TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326531426",
            "telephone_number": "786-355-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6423 NW 30TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326531426",
            "telephone_number": "786-355-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "SHANTI",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW13616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Slater Cruz, DO
• Mariah Cruz, DO
• Marissa Cruz
• Rachel De Oliveira Cruz, PA-C
• Raquel E Cruz
• Carlos Cuadros, MD
• Francisco Isaac Cubero, MSW
• Jason Cucchiara, M.A.
• Stefanie Elizabeth Cucciarre, MSW
• Tankea Lashay Cue, APRN

• Clinical Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.