Individual provider Active NPI

Maricely Cruz Laboy, MSW, CAT IV

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1396492203
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13721 Issued in PR
Practice address
431 Ave Hostos
San Juan, PR 00918-3014
Phone
(787) 704-0705
Fax
(787) 744-7444
NPI assigned
Mar 10, 2022
Last updated
Jul 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13721 PR Primary

Addresses

Primary practice location

431 Ave Hostos
San Juan, PR 00918-3014

Mailing address

PO Box 9809
Caguas, PR 00726-9809
Phone (787) 707-0705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220330000826 PR Practitioner - Clinical Social Worker 8628464781 Reassigns benefits to 1 organization
Practice locations: Yauco, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Dec 17, 2021 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Dec 17, 2021 Accepting new patients

Locations

431 Ave Hostos
San Juan, PR 00918
Phone 7877539515226

55 Calle Comercio
Yauco, PR 00698
Phone (787) 267-1810

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1396492203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9809",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269809",
            "telephone_number": "787-707-0705",
            "fax_number": "787-744-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 AVE HOSTOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183014",
            "telephone_number": "787-704-0705",
            "fax_number": "787-744-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ LABOY",
        "first_name": "MARICELY",
        "credential": "MSW, CAT IV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.