Provider Demographics
NPI:1396558490
Name:MONSANTO CRUZ, MAIGAN DANISHKA (LCSWA)
Entity type:Individual
Prefix:
First Name:MAIGAN
Middle Name:DANISHKA
Last Name:MONSANTO CRUZ
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4685 HACKBERRY GROVE CIR APT 1836
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-2434
Mailing Address - Country:US
Mailing Address - Phone:929-204-6983
Mailing Address - Fax:
Practice Address - Street 1:16507A NORTHCROSS DR STE 109
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5081
Practice Address - Country:US
Practice Address - Phone:704-284-7330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0216111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical