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

Holly Marie Cruz, LCSW

Individual provider Clinical Social Worker · NPI 1902419658

Holly Marie Cruz, LCSW is a Clinical Social Worker in Idaho Falls, Idaho. Qualified in 2022, 4 years ago. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
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

254 E St Ste B
Idaho Falls, ID 83402
Phone: (208) 529-1854
Fax: (208) 523-5974
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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 8911052 (ID)

Record details

NPI number1902419658
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

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)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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