Individual provider Active NPI

Alanna Chevon Cruz, LCSW

  • Clinical Social Worker
  • Clayton, NJ
National Provider Identifier
1831739655
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06230400 Issued in NJ
Practice address
6 W Dehart Ave
Clayton, NJ 08312-2455
Phone
(609) 501-5887
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06536400 NJ
Clinical Social Worker 1041C0700X 44SC06230400 NJ Primary

Addresses

Primary practice location

6 W Dehart Ave
Clayton, NJ 08312-2455

Mailing address

6 W Dehart Ave
Clayton, NJ 08312-2455
Phone (609) 501-5887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240515003748 NJ Practitioner - Clinical Social Worker 5799126124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06536400NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group Clinical CurrentSince Apr 10, 2024 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group, PA CurrentSince Apr 10, 2024 Accepting new patients

Locations

2500 English Creek Ave
Ste 907
Egg Harbor Township, NJ 08234
Phone (609) 407-2310

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1831739655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W DEHART AVE",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083122455",
            "telephone_number": "609-501-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W DEHART AVE",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083122455",
            "telephone_number": "609-501-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ALANNA",
        "middle_name": "CHEVON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06536400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06230400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NJ

Sources for this page

Verify at the official NPI Registry.