Active NPI
Andrea Medeiros Cruz, LCSW
- Clinical Social Worker
- Plymouth, MA
National Provider Identifier
1245387463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 213194
- Practice address
- 900 Great Outlook Way
Plymouth, MA 02360-1812 - Phone
- (508) 224-8041
- NPI assigned
- Jan 3, 2007
- 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 | 213194 | MA | Primary |
Addresses
Primary practice location
900 Great Outlook Way
Plymouth, MA 02360-1812
Mailing address
78 Maywood St
New Bedford, MA 02745-5143
Phone (508) 224-8041
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 |
|---|---|---|---|
| 213194 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245387463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 MAYWOOD ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027455143",
"telephone_number": "508-224-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 GREAT OUTLOOK WAY",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023601812",
"telephone_number": "508-224-8041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "ANDREA",
"middle_name": "MEDEIROS",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "213194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.