Individual provider Active NPI

Elizabeth Cruzan, MSW, LMSW

  • Social Worker
  • Saint Louis, MO
National Provider Identifier
1295150415
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2014024202 Issued in MO
Practice address
8315 S Broadway
Saint Louis, MO 63111-3804
Phone
(314) 631-4299
Fax
(314) 631-4316
NPI assigned
Feb 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2014024202 MO Primary

Addresses

Primary practice location

8315 S Broadway
Saint Louis, MO 63111-3804

Mailing address

8315 S Broadway
Saint Louis, MO 63111-3804
Phone (314) 631-4299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2014024202MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Psych Centers LLC Past Accepting new patients
Harris House Foundation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1295150415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631113804",
            "telephone_number": "314-631-4299",
            "fax_number": "314-631-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631113804",
            "telephone_number": "314-631-4299",
            "fax_number": "314-631-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZAN",
        "first_name": "ELIZABETH",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2014024202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.