Jessalyn Nicole Cruz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092828-01 Issued in NY

Practice address

400 Horseblock Rd Ste H
Farmingville, NY 11738-1252

Phone

(631) 233-9490

Fax

(631) 233-9499

NPI assigned

Jan 5, 2013

Last updated

Jul 16, 2026By the provider in NPPES

Sex

Female

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

Opted out of Medicare

Yes, effective Jun 1, 2026 through Jun 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1357344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1447597810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HORSEBLOCK RD STE H",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381252",
            "telephone_number": "631-233-9490",
            "fax_number": "631-233-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HORSEBLOCK RD STE H",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381252",
            "telephone_number": "631-233-9490",
            "fax_number": "631-233-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JESSALYN",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-05",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092828-01",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "088320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Consey
• Mary Jane Corpas
• Nicole Coscia
• Vincent Crane
• Berta Aracely Cruz, RN
• CS Medical Associates, P.C. (Victory Recovery Partners)
• Cheryl Lynn Cuiffo, LPN
• CVS Albany LLC (CVS Pharmacy)
• Paula Dagrosa-Manso, A.N.P.
• Dylan Damaskinos

• Clinical Social Worker in Farmingville, NY
• Providers in Farmingville, 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 Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.