Active NPI
Melina Cruz, LCSW
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1083864003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079129
- Practice address
- 1419 Shakespeare Ave
Bronx, NY 10452-1851 - Phone
- (718) 732-7080
- NPI assigned
- Sep 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 079129 | NY | Primary |
Addresses
Primary practice location
1419 Shakespeare Ave
Bronx, NY 10452-1851
Mailing address
530 Olmstead Ave
Apt 1G
Bronx, NY 10473-1831
Phone (646) 401-2810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079129 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1083864003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 OLMSTEAD AVE",
"address_2": "APT 1G",
"city": "BRONX",
"state": "NY",
"postal_code": "104731831",
"telephone_number": "646-401-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 SHAKESPEARE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104521851",
"telephone_number": "718-732-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "MELINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.