Active NPI
Lourdes Villanueva-Cruz
- Social Worker
- Goshen, NY
National Provider Identifier
1417055013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 072160
- Practice address
- 305 Main St
Goshen, NY 10924-1638 - Phone
- (845) 294-4245
- NPI assigned
- Sep 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 072160 | NY | Primary |
| Pastoral Counselor | 101YP1600X | 072160 | NY |
Addresses
Primary practice location
305 Main St
Goshen, NY 10924-1638
Mailing address
305 Main St
Goshen, NY 10924-1638
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 |
|---|---|---|---|
| 072160 | NY | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1417055013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 MAIN ST",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MAIN ST",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241638",
"telephone_number": "845-294-4245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA-CRUZ",
"first_name": "LOURDES",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "072160",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NY",
"license": "072160",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.