Individual
JEANILY CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
711 W 40TH ST STE 425, BALTIMORE, MD 21211-2135
(617) 680-5262
Mailing address
711 W 40TH ST STE 425, BALTIMORE, MD 21211-2135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
26933
MD
1041C0700X
Clinical Social Worker
Primary
0904019718
VA
Other
Enumeration date
03/03/2022
Last updated
04/10/2026
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