Provider Demographics
NPI:1497636302
Name:CASTRO, MARLEEN ROSE CRUZ (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARLEEN ROSE
Middle Name:CRUZ
Last Name:CASTRO
Suffix:
Gender:F
Credentials:LCSW
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 23873
Mailing Address - Street 2:
Mailing Address - City:BARRIGADA
Mailing Address - State:GU
Mailing Address - Zip Code:96921-3873
Mailing Address - Country:US
Mailing Address - Phone:671-686-7060
Mailing Address - Fax:
Practice Address - Street 1:665 S MARINE CORPS DR BLDG STE 102
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-3572
Practice Address - Country:US
Practice Address - Phone:671-686-7060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GULCSW-E-0401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical