Individual provider · Type 1 NPI

Tiffanie Cruz, LCSW

Clinical Social Worker · Fort Campbell, KY

NPI number 1205698776 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Mailing address

234 Wexford Way
Clarksville, TN 37042-8956

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC020678 (NC)

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 1205698776

Tiffanie Cruz, LCSW's National Provider Identifier is 1205698776, issued on Jan 29, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Campbell, KY. The record was last updated on Oct 7, 2026.