Individual provider · Type 1 NPI

Jack Cruzan, LCSW CSAC

Clinical Social Worker · Kealakekua, HI

NPI number 1861802464 Active

Practice location

81-6587 Mamalahoa Hwy, Suite C-203
Kealakekua, HI 96750

Mailing address

PO Box 928
Captain Cook, HI 96704-0928

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1663-12 (HI)
Clinical Social Worker Primary 1041C0700X3904 (HI)

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 1861802464

Jack Cruzan, LCSW CSAC's National Provider Identifier is 1861802464, issued on May 5, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kealakekua, HI. The record was last updated on May 5, 2014.