Individual provider Active NPI

Patricia Ruth Cruz, LCSW, DSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1366865750
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016416 Issued in NC
Practice address
7400 Carmel Executive Park Dr Ste 155
Charlotte, NC 28226-8242
Phone
(803) 260-6520
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C9423 MS
Clinical Social Worker 1041C0700X C016416 NC Primary
Social Worker 104100000X 9351 SC

Addresses

Primary practice location

7400 Carmel Executive Park Dr Ste 155
Charlotte, NC 28226-8242

Mailing address

4905 Ashley Park LN Ste 28210
Charlotte, NC 28210-3656
Phone (803) 260-6520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200602003085 MS Practitioner - Clinical Social Worker 8628499480
I20251201002848 NC Practitioner - Clinical Social Worker 8628499480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

2 Walden Ridge Dr
Suite 90
Asheville, NC 28803-8598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9351SCMDSocial Worker
C016416NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, P.C. Clinical CurrentSince Sep 8, 2025 Accepting new patients
Optum Behavioral Care of North Carolina, PC CurrentSince Sep 8, 2025 Accepting new patients
Optum Behavioral Care of North Carolina, PC Current Accepting new patients

Locations

1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202

7400 Carmel Executive Park Dr
Ste 155
Charlotte, NC 28226
Phone (844) 534-7208

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1366865750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 ASHLEY PARK LN STE 28210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103656",
            "telephone_number": "803-260-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 CARMEL EXECUTIVE PARK DR STE 155",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268242",
            "telephone_number": "803-260-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "PATRICIA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "LCSW, DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C9423",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016416",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "9351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.