Individual provider · Type 1 NPI

Genevieve M. De la Cruz

Clinical Social Worker · Lake City, FL

NPI number 1154212173 Active

Practice location

305 NW Christian Ct
Lake City, FL 32055-4837

Call (386) 365-6706 Map

Mailing address

140 SW Doe Gln
Lake City, FL 32024-3700

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19460 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1154212173

Genevieve M. De la Cruz's National Provider Identifier is 1154212173, issued on Jul 9, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake City, FL. The record was last updated on Jul 9, 2025.