Individual provider Active NPI

Martha Cruz, LCSW

  • Clinical Social Worker
  • Berwyn, IL
National Provider Identifier
1497974356
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6918 W Windsor Ave
Berwyn, IL 60402-3334
Phone
(708) 745-5277
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 Primary

Addresses

Primary practice location

6918 W Windsor Ave
Berwyn, IL 60402-3334

Mailing address

5220 East Ave
Countryside, IL 60525-3133
Phone (708) 745-5277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150521001599 IL Practitioner - Clinical Social Worker 3577883156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Associates in Behavioral Science LTDGroup PAC ID 5698739126, 3 clinicians
Pillars Community HealthGroup PAC ID 9032367859, 7 clinicians

Practice addresses (Care Compare)

6738 Cermak Rd
Berwyn, IL 60402-2217

6738 W Cermak Rd
Berwyn, IL 60402-2217
Phone (708) 788-8808

6918 W Windsor Ave
Berwyn, IL 60402-3334
Phone (708) 745-5277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pillars Community Health CurrentSince May 12, 2018 Accepting new patients
Associates in Behavioral Science, LTD. CurrentSince Jul 23, 2018 Accepting new patients

Locations

6738 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2331

6201 Cermak Rd
Ste 2
Berwyn, IL 60402
Phone (708) 788-8808

6918 W Windsor Ave
Berwyn, IL 60402
Phone (708) 795-4800

5220 East Ave
Countryside, IL 60525

333 N La Grange Rd
Ste 1
La Grange Pk, IL 60526
Phone (708) 995-3550

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1497974356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 EAST AVE",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253133",
            "telephone_number": "708-745-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 W WINDSOR AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023334",
            "telephone_number": "708-745-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.