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NPI Code Detail

MEDICARE: MS. NICHOLE CRUZ-TORRES LCSW

MEDICARE:  MS. NICHOLE  CRUZ-TORRES  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW17219FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275991895
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICHOLE CRUZ-TORRES LCSW
Provider Business Mailing Address
First Line : 7901 4TH ST N STE 300
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33702-4399
Country : US
Telephone Number : 561-320-1172
Fax Number :
Provider Business Practice Location Address
First Line : 1825 FOREST HILL BLVD STE 103
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-6058
Country : US
Telephone Number : 561-320-1172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2016
Last Update Date : 04/11/2023

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Directions to “ MS. NICHOLE CRUZ-TORRES LCSW” Practice Location

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