Active NPI
Wilfreda J. Cruz, LCSW-C, P.a.
- Clinical Social Worker
- Bowie, MD
National Provider Identifier
1275749780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11330
- Legal business name
- WILFREDA J. CRUZ, LCSW-C, P.A.
- Practice address
- 14502 Clover Hill Ter
Bowie, MD 20720-4836 - Phone
- (410) 741-1294
- Fax
- (410) 741-1298
- NPI assigned
- May 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Wilfreda Jenine Cruz, LCSW-C
- Title
- Clinical Director President
- Phone
- (410) 741-1294
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11330 | MD | Primary |
Addresses
Primary practice location
14502 Clover Hill Ter
Bowie, MD 20720-4836
Mailing address
14502 Clover Hill Ter
Bowie, MD 20720-4836
Phone (410) 741-1294
Other names 1
- Family and Senior Options
National Provider Directory
National Provider DirectoryLocations
2137 Defense Hwy
Ste 10B
Crofton, MD 21114
Phone (410) 721-4040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Jacksonville Beach, FL
- NPI 1922214436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275749780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14502 CLOVER HILL TER",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204836",
"telephone_number": "410-741-1294",
"fax_number": "410-741-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14502 CLOVER HILL TER",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204836",
"telephone_number": "410-741-1294",
"fax_number": "410-741-1298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILFREDA J. CRUZ, LCSW-C, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "WILFREDA",
"authorized_official_middle_name": "JENINE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR PRESIDENT",
"authorized_official_telephone_number": "410-741-1294",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "11330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family and Senior Options",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.