Zandra M Cruz-Paul, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005881 Issued in GA

Practice address

265 W Pike St
Lawrenceville, GA 30046-4896

Phone

(678) 650-5510

Fax

(678) 288-7935

NPI assigned

Jul 27, 2015

Last updated

Apr 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zest 4 Life Counseling SVCS., LLC

  • Clinical Social Worker
  • Lawrenceville, GA
  • NPI 1588197735
  NPD (past) Authorized official

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1356726764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 SHOAL CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463168",
            "telephone_number": "718-419-7810",
            "fax_number": "678-288-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W PIKE ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464896",
            "telephone_number": "678-650-5510",
            "fax_number": "678-288-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-PAUL",
        "first_name": "ZANDRA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "MSW006516",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "509735",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Sharrod Crumpton, MA, MFT
• Elishia Kathleen Crumwell-Mack, CNP
• Cruse Medical Care
• Erin Ashley Cruttenden, PT
• Daniela Cruz Gomez
• Glen Gomez Cruz, PT
• Justin Paul Cruz, MD
• Eglin Karol Cuba Paz
• Betsy Eleane Cuenca
• Alex Jean Culberson, AUD

• Clinical Social Worker in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.