Individual
MS. JESSELLY DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 MORRIS AVE, UNION, NJ 07083-7133
(201) 774-4017
Mailing address
41 PINE ST, BEVERLY, NJ 08010-3516
(201) 774-4017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC0548400
NJ
1041C0700X
Clinical Social Worker
44SC05484000
NJ
Other
Enumeration date
12/13/2011
Last updated
12/13/2025
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