Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Imelda De la Cruz, LCSW

Individual provider Clinical Social Worker · NPI 1093443202

Imelda De la Cruz, LCSW is a Clinical Social Worker in Fort Worth, Texas. Qualified in 2016, 10 years ago. Practices with Lena Pope Home, Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2022
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

3200 Sanguinet St
Fort Worth, TX 76107-5355
Phone: (817) 255-2652
Fax: (817) 255-2657
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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 62879 (TX)

Record details

NPI number1093443202
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lena Pope Home, Inc. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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