Hayden J Cruz, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084989 Issued in NY

Practice address

240 Long Island Avenue
Wyandanch, NY 11798

Phone

(631) 782-6200

Fax

(631) 491-5354

NPI assigned

May 26, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1346698719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 LONG ISLAND AVENUE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "11798",
            "telephone_number": "631-782-6200",
            "fax_number": "631-491-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LONG ISLAND AVENUE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "11798",
            "telephone_number": "631-782-6200",
            "fax_number": "631-491-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "HAYDEN",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72089046",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Constantinou, LMSW
• Brenda Cooper
• County of Suffolk
• Michelle A Courtois
• Tanisha Crawford, LCSW
• Kayla Curry
• Seth Dambrot, LMSW
• Chelsea Delucia, LCSW
• Geraldine Desgraviers, R.N.
• Dinesh Sethi Physician PC

• Clinical Social Worker in Wyandanch, NY
• Providers in Wyandanch, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.