Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK CRUZAN, LCSW CSAC
ActiveClinical Social Worker · KEALAKEKUA, HI
Registration Details
- NPI Number
- 1861802464
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2014 (11.962617908352 yrs)
- Last Updated
- May 5, 2014
- Licenses
-
1663-12 (HI)3904 (HI)
Practice Information
- Address
-
81-6587 MAMALAHOA HWYSUITE C-203KEALAKEKUA, HI, 96750Browse HI providers · Browse ZIP 96750
- Phone
- 8089872451
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in KEALAKEKUA, HI
| Name | Credential | NPI |
|---|---|---|
| GRETCHEN S. WIGTON | LCSW | 1740342419 |
| KATHRYN T YORT | LCSW | 1992285696 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.