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NPI Code Detail

MEDICARE: MARCIA A CRUZ LICSW

MEDICARE: MARCIA A CRUZ LICSW
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 WorkerLICSW128420MA

General Provider Information

NPI Number : 1952911851
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA A CRUZ LICSW
Provider Business Mailing Address
First Line : 132 DEFOREST ST
Second Line :
City : BOSTON
State : MA
Zip : 02131-4920
Country : US
Telephone Number : 617-817-1709
Fax Number :
Provider Business Practice Location Address
First Line : 30 WARREN ST
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-3680
Country : US
Telephone Number : 857-270-8049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2020
Last Update Date : 04/01/2026

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Directions to “ MARCIA A CRUZ LICSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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