Micaela Lares Cruz, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

084300 Issued in NY

Practice address

1413 Stony Brook Rd
Stony Brook, NY 11790-2214

Phone

(631) 827-8818

NPI assigned

Apr 3, 2024

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

• Miss Micaela Lares Nieves Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1609628502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PUTNAM AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721088",
            "telephone_number": "631-827-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 STONY BROOK RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902214",
            "telephone_number": "631-827-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MICAELA",
        "middle_name": "LARES",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAELA",
            "last_name": "NIEVES",
            "middle_name": "LARES",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn M Crowley
• Samuel Earl Crowley, MD
• Giuseppe Cruciata
• William Crugnola, MD
• Esau Cruz Gutierrez, DDS
• Nicolette Rose Cruz, PMHNP-BC
• Norman Cruz, NP
• Susan Cuccia, RN
• Jerry Cuenca, MD
• Haiyan Cui

• Social Worker in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.