Tiffany Cruickshank, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110016 Issued in CA

Practice address

201 N. 1St Street
Suite 210
San Jose, CA 95113

Phone

(408) 221-4797

NPI assigned

Nov 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1760191332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 GLEN EYRIE AVE APT 25",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253102",
            "telephone_number": "408-221-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N. 1ST STREET",
            "address_2": "SUITE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95113",
            "telephone_number": "408-221-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUICKSHANK",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://bhsd.sccgov.org/home",
            "affiliation": "N",
            "endpointDescription": "county behavioral health website",
            "address_1": "201 N. 1st Street",
            "address_2": "Suite 210",
            "city": "san jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Crowder
• Krista M Crowley, NP
• Sharon R. Crowley, R.N.
• Emilia Suarez Croy, DDS
• Jenalyssa E Cruces, MA, AMFT
• Amber S Crum
• Jordan Joseph Cruse, MD
• Adamaris Cruz Esquivel
• Miriam Cruz Esquivel
• Maria del Rosario Cruz Guevara

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.