Cruz, Wilfreda Jenine

Cruz, Wilfreda Jenine is an sole proprietor health care provider with primary practice located at 1348 Beach Blvd Suite 50303, Jacksonville Beach FL 32250. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cruz, Wilfreda Jenine can be contacted via phone (240) 723-2902.

Contact Information

Primary practice address
1348 Beach Blvd Suite 50303 Jacksonville Beach FL 32250
Phone: (240) 723-2902
Fax: (904) 659-7989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11330 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW15573 Florida

Profile Details

NPI number 1922214436
LBN Legal business name Cruz, Wilfreda Jenine
Credentials LCSW, LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Oct 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922214436 NPPES
Florida Other 463216 CARELON
Florida MEDICAID 798904100 CARELON

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