Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Glee Crusos, LCSW

Individual provider Clinical Social Worker · NPI 1700418084

Amanda Glee Crusos, LCSW is a Clinical Social Worker in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

306 E Main St
Stockton, CA 95202-2908
Phone: (209) 707-6247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 115828 (CA)

Record details

NPI number1700418084
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 5, 2020
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

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