Organization Active NPI

Wilfreda J. Cruz, LCSW-C, P.a.

  • Clinical Social Worker
  • Bowie, MD
National Provider Identifier
1275749780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11330 Issued in MD
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wilfreda Jenine Cruz, LCSW-CNPI 1922214436
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.