Imelda De La Cruz, LCSW in Fort Worth, TX - Medicare Social Worker Provider

Imelda De La Cruz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Worth, Texas. Her current practice location is 3200 Sanguinet St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 255-2652.

Imelda De La Cruz is licensed to practice in Texas (license number 62879) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093443202.

Contact Information

	Imelda De La Cruz, LCSW
	3200 Sanguinet St, Fort Worth, TX 76107-5355
	(817) 255-2652
	(817) 255-2657

Map and Direction

Healthcare Provider's Profile

Full Name	Imelda De La Cruz
Gender	Female
Speciality	Social Worker - Clinical
Location	3200 Sanguinet St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093443202
Provider Enumeration Date: 08/15/2022
Last Update Date: 08/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9133569890
Enrollment ID: I20240429000184

Medical Identifiers

Medical identifiers for Imelda De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093443202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	62879 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Imelda De La Cruz allows following entities to bill medicare on her behalf.

Entity Name	Lena Pope Home, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093856924 PECOS PAC ID: 0143230631 Enrollment ID: O20060427000714

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Imelda De La Cruz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Imelda De La Cruz, LCSW 3200 Sanguinet St, Fort Worth, TX 76107-5355 Ph: (817) 255-2652	Imelda De La Cruz, LCSW 3200 Sanguinet St, Fort Worth, TX 76107-5355 Ph: (817) 255-2652

Reviews and Comments

Social Worker in Fort Worth, TX

Scharlyn R Henderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Catherine Collier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Tremont Ave, Fort Worth, TX 76107 Phone: 817-732-4035
Miss Bethany Wallace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4686 Bristol Trace Trl, Fort Worth, TX 76244 Phone: 817-705-1586
Catherine Rice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6778 Camp Bowie Blvd Ste 229, Fort Worth, TX 76116 Phone: 682-703-1311
Yolanda Wilson Smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107 Phone: 817-569-4300
Tela Hedberg Thornton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3200 Sanguinet St, Fort Worth, TX 76107 Phone: 817-255-2652 Fax: 817-255-2657
Ms. Mara Lynn Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6421 Camp Bowie Blvd, Suite 417, Fort Worth, TX 76116 Phone: 817-919-6957 Fax: 817-919-9287

Imelda De La Cruz, LCSW - Medicare Clinical Social Worker in Fort Worth, TX