Rosalie Cruz
Individual provider Active NPI Clinical Social Worker · Miami, FL
NPI 1275929713 · NPPES record last updated Mar 29, 2018
Key facts
- NPI
- 1275929713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW 12732 (FL)
- Practice address
- 8785 SW 165TH Ave Ste 103
Miami, FL 33193-5827 - Phone
- (786) 206-6500
- NPI assigned
- Apr 11, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Care Center for the Homeless Inc
Ace Behavioral Health LLC
Practice addresses (Care Compare)
232 N Orange Blossom TRL
Orlando, FL 32805-1612
Phone 4074285751329
5406 Hoover Blvd
Suite 18
Tampa, FL 33634-5330
Phone (866) 770-4104
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150708002153 | FL | Practitioner - Clinical Social Worker | 7113239831 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 12732 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current |
Accepting new patients | |
| Citrus County Rural Health Inc | Current |
Accepting new patients | |
| Ace Behavioral Health LLC | Current |
Accepting new patients | |
| MCR Health, Inc. | Current |
Accepting new patients | |
| Jewish Family & Childrens Service of the Suncoast Inc | Clinical | Past |
Accepting new patients |
Locations
927 N Citrus Ave
Crystal River, FL 34428
Phone (352) 404-5588
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
5406 Hoover Blvd
Ste 18
Tampa, FL 33634
Phone (813) 880-7577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Clinical Social Worker | 1041C0700X | SW 12732 | FL | Yes |
Addresses
Primary practice location
8785 SW 165TH Ave Ste 103
Miami, FL 33193-5827
Mailing address
3601 Federal Hwy
Miami, FL 33137-3795
Phone (305) 576-6611
Other practice location 1
8785 SW 165th Ave Ste 103
Miami, FL 33193-5827
Phone (786) 206-6500
Other providers in Miami, FL
- Nicole Marie Cruz
- Nidia Eugenia Cruz
- Omar Cruz
- Patricia I Cruz
- Raul A Cruz
- Sabrina Cruz
- Sarahy Cruz
- Suset Cruz
- Tania Cruz
- Vanesa Cruz
All providers in Miami, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.