Provider Demographics
NPI:1437184728
Name:HENDRICKS, MARANGELI CRUZ (MSW)
Entity type:Individual
Prefix:
First Name:MARANGELI
Middle Name:CRUZ
Last Name:HENDRICKS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1043
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00821-1043
Mailing Address - Country:US
Mailing Address - Phone:340-778-5553
Mailing Address - Fax:340-778-9497
Practice Address - Street 1:RR 2 BOX 10553
Practice Address - Street 2:THE VILLAGE MALL
Practice Address - City:KINGSHILL
Practice Address - State:VI
Practice Address - Zip Code:00850-9604
Practice Address - Country:US
Practice Address - Phone:340-778-5553
Practice Address - Fax:340-778-9497
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI2-2017912-20061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical