Individual provider Active NPI

Michele McCullough-Cruz, LCSW

  • Clinical Social Worker
  • Sahuarita, AZ
National Provider Identifier
1407212061
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-19690 Issued in AZ
Practice address
1263 W Calle de la PLZ
Sahuarita, AZ 85629-9730
Phone
(520) 437-2561
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-19690 AZ Primary

Addresses

Primary practice location

1263 W Calle de la PLZ
Sahuarita, AZ 85629-9730

Mailing address

815 W Via Rancho Sahuarita Unit 239
Sahuarita, AZ 85629-1109
Phone (520) 437-2561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602003522 AZ Practitioner - Clinical Social Worker 9537630322 Practice locations: Sahuarita, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Sahuarita, AZ 85629
Phone (520) 437-2561

17750 S la Canada Dr
Sahuarita, AZ 85629-9122
Phone (520) 437-2561

815 W Via Rancho Sahuarita
Unit 239
Sahuarita, AZ 85629-1109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-19690AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1407212061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W VIA RANCHO SAHUARITA UNIT 239",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856291109",
            "telephone_number": "520-437-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 W CALLE DE LA PLZ",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856299730",
            "telephone_number": "520-437-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH-CRUZ",
        "first_name": "MICHELE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-19690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

Verify at the official NPI Registry.