Carmen M Cruz-Mercer, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1028356 Issued in MA

Practice address

637 Washington St
Codman Square Health CNT
Dorchester, MA 02124

Phone

(617) 822-8242

Fax

(617) 822-8148

NPI assigned

Apr 9, 2007

Last updated

May 19, 2009By 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 1

Addresses

Other names 1

• Carmen M Cruz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1528181302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WASHINGTON ST",
            "address_2": "CODMAN SQUARE HEALTH CNT",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02124",
            "telephone_number": "617-822-8242",
            "fax_number": "617-822-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WASHINGTON ST",
            "address_2": "CODMAN SQUARE HEALTH CNT",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02124",
            "telephone_number": "617-822-8242",
            "fax_number": "617-822-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-MERCER",
        "first_name": "CARMEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1028356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "CRUZ",
            "middle_name": "M",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kate Crotty, LCSW
• Danielle Crowell, APRN
• Debra Crowley
• Walter Wayne Crum, MD
• Daphne Cruz-Baez
• Rochelee Cruz, RN
• Celia Cumberbatch, MSW
• Gordonia Cundiff, LMHC
• Margaret Curran
• Meghan Curran, NP

• Clinical Social Worker in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.