Active NPI
Jessica Cruz, LMSW
- Social Worker
- Flushing, NY
National Provider Identifier
1104325729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 086246
- Practice address
- 7125 Main St
Flushing, NY 11367 - Phone
- (718) 261-0211
- NPI assigned
- Feb 9, 2018
- Last updated
- Dec 5, 2019
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 086246 | NY | Primary |
Addresses
Primary practice location
7125 Main St
Flushing, NY 11367
Mailing address
7125 Main St
Flushing, NY 11367-2014
Phone (718) 261-0211
Other practice location 1
104-70 Queens Blvd
2nd Floor
Forest Hills, NY 11375
Phone (718) 275-6010
Other practice location 2
104-70 Queens Blvd
2nd Floor
Forest Hills, NY 11375
Phone (718) 275-6010
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086246 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Beginnings Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Flushing, NY
- NPI 1306209291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1104325729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113672014",
"telephone_number": "718-261-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11367",
"telephone_number": "718-261-0211"
}
],
"practiceLocations": [
{
"address_1": "104-70 Queens Blvd",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "11375",
"country_code": "US",
"telephone_number": "718-275-6010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104-70 Queens Blvd",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "11375",
"country_code": "US",
"telephone_number": "718-275-6010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "JESSICA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "086246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.