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

Edgar Daniel De la Cruz, LCSW

Individual provider Clinical Social Worker · NPI 1306339221

Edgar Daniel De la Cruz, LCSW is a Clinical Social Worker in Oakland, California. Qualified in 2022, 4 years ago. Practices with Centro De Salud De La Comunidad De San Ysidro, Inc, a 291-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2018
Specialties on file
4
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

230 Grand Ave Ste 301C
Oakland, CA 94610-4588
Phone: (510) 221-6131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1388 Buckman Springs Rd, Campo, CA 91906-2028 — (619) 662-4100
  • 3800 Coolidge Ave, Oakland, CA 94602-3311 — (415) 828-8921

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 135626 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X
Social Worker Taxonomy 104100000X · Licence 109463 (CA)
Counselor Taxonomy 101Y00000X (CA)

Record details

NPI number1306339221
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Centro De Salud De La Comunidad De San Ysidro,Inc. — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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