Active NPI
Angeline Alicea Cruz, LICSW
- Clinical Social Worker
- Brighton, MA
National Provider Identifier
1720598477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW1140930
- Practice address
- 30 Warren St
Brighton, MA 02135-3602 - Phone
- (617) 254-3800
- NPI assigned
- Oct 9, 2017
- Last updated
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW1140930 | MA | Primary |
Addresses
Primary practice location
30 Warren St
Brighton, MA 02135-3602
Mailing address
30 Warren St
Brighton, MA 02135-3602
Phone (617) 254-3800
Other practice location 1
700 Massachusetts Ave Fl 3
Cambridge, MA 02139-3345
Phone (888) 500-2067
Other practice location 2
10 Asylum St
Milford, MA 01757-2203
Phone (508) 469-3171
Other practice location 3
120 Maple St
Springfield, MA 01103-2203
Phone (413) 846-0445
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134107113 | Medicaid | MA | |
| 71756 | Other | MA | TUFTS |
| Y10086 | Other | MA | MEDICARE |
| 997303 | Other | MA | NETWORK HEALTH |
| 1134107113 | Other | MA | NHP |
| 1134107113 | Other | MA | FALLON |
| 1134107113 | Other | MA | BEACON |
| 042622756 | Other | MA | CCA |
| 12529 | Other | MA | HNE |
| 1134107113 | Other | MA | MBHP |
Other names 1
- Angeline Alicea
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gandara Mental Health Center | Counselor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Springfield, MA
- NPI 1740723436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1720598477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WARREN ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353602",
"telephone_number": "617-254-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WARREN ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353602",
"telephone_number": "617-254-3800"
}
],
"practiceLocations": [
{
"address_1": "700 Massachusetts Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021393345",
"country_code": "US",
"telephone_number": "888-500-2067",
"fax_number": "617-649-8520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Asylum St",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "MA",
"postal_code": "017572203",
"country_code": "US",
"telephone_number": "508-469-3171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Maple St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011032203",
"country_code": "US",
"telephone_number": "413-846-0445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALICEA CRUZ",
"first_name": "ANGELINE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW1140930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134107113",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "71756",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Y10086",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "997303",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "1134107113",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1134107113",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON",
"identifier": "1134107113",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCA",
"identifier": "042622756",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNE",
"identifier": "12529",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "1134107113",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELINE",
"last_name": "ALICEA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.