Provider Demographics
NPI:1982726857
Name:CRUZ, JOANNE C (MSW, LMSW)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:C
Last Name:CRUZ
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1699 HEMPSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2630
Mailing Address - Country:US
Mailing Address - Phone:248-709-7432
Mailing Address - Fax:
Practice Address - Street 1:1699 HEMPSTEAD DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2630
Practice Address - Country:US
Practice Address - Phone:248-709-7432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker