Individual provider Active NPI

Antonio Cruz, LCSW

  • Clinical Social Worker
  • Winter Garden, FL
National Provider Identifier
1669033577
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16349 Issued in FL
Practice address
13350 W Colonial Dr Ste 340
Winter Garden, FL 34787-3977
Phone
(407) 654-4433
Fax
(407) 926-0209
NPI assigned
Jun 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16349 FL Primary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 16349 FL

Addresses

Primary practice location

13350 W Colonial Dr Ste 340
Winter Garden, FL 34787-3977

Mailing address

13350 W Colonial Dr Ste 340
Winter Garden, FL 34787-3977
Phone (407) 654-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190903001494 FL Practitioner - Clinical Social Worker 4486983343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Resource Services, Inc.Group PAC ID 3779884093, 30 clinicians

Practice addresses (Care Compare)

13350 W Colonial Dr
Suite 340
Winter Garden, FL 34787-3977
Phone (407) 654-4433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16349FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Path Consulting Services LLC Clinical CurrentSince Mar 28, 2021 Accepting new patients
Behavioral Health Minute Clinic LLC Single Specialty CurrentSince Oct 15, 2020 Accepting new patients
Counseling Resource Services, Inc. Single Specialty CurrentSince Jul 29, 2019 Accepting new patients

Locations

2068 E Osceola Pkwy
Kissimmee, FL 34743
Phone (407) 450-8151

13350 W Colonial Dr
Ste 340
Winter Garden, FL 34787
Phone (407) 654-4433

1806 Town Plaza Ct
Winter Springs, FL 32708
Phone (407) 542-4946

Organizations & group practices 3

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": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1669033577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 W COLONIAL DR STE 340",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873977",
            "telephone_number": "407-654-4433",
            "fax_number": "407-926-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 W COLONIAL DR STE 340",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873977",
            "telephone_number": "407-654-4433",
            "fax_number": "407-926-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-23",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16349",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "16349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.