Individual provider Active NPI

Daphne Cruz-Baez

  • Clinical Social Worker
  • Dorchester, MA
National Provider Identifier
1700285731
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
413 Neponset Ave
1St Floor
Dorchester, MA 02122-3238
Phone
(617) 221-5024
NPI assigned
Aug 14, 2014
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X S83992521 MA
Clinical Social Worker 1041C0700X MA Primary

Addresses

Primary practice location

413 Neponset Ave
1St Floor
Dorchester, MA 02122-3238

Mailing address

464 Salem St Apt 8
Medford, MA 02155-3324
Phone (413) 522-2553

Other practice location 1

500 Victory Rd
Quincy, MA 02171-3139
Phone (617) 847-1950

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

LicenseStateTypeSpecialty
S83992521MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1700285731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 SALEM ST APT 8",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553324",
            "telephone_number": "413-522-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 NEPONSET AVE",
            "address_2": "1ST FLOOR",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223238",
            "telephone_number": "617-221-5024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Victory Rd",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021713139",
            "country_code": "US",
            "telephone_number": "617-847-1950",
            "fax_number": "617-774-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ-BAEZ",
        "first_name": "DAPHNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2023-01-03",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "S83992521",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.