Healthcare Provider Details

I. General information

NPI: 1801359195
Provider Name (Legal Business Name): ADELA CRUZ D.S.W & LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 E EDINGER AVE STE 202
SANTA ANA CA
92705-4816
US

IV. Provider business mailing address

2601 W CURIE AVE APT B
SANTA ANA CA
92704-8351
US

V. Phone/Fax

Practice location:
  • Phone: 714-904-4359
  • Fax:
Mailing address:
  • Phone: 714-904-4359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number29600
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: