Individual provider Active NPI

Margarita Elizabeth Cruz, LCSW

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1780801209
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076133 Issued in NY
Practice address
11011 Queens Blvd Ste 1CC
Forest Hills, NY 11375-5438
Phone
(718) 490-8903
Fax
(718) 490-8903
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 069699-1 NY
Clinical Social Worker 1041C0700X 076133 NY Primary

Addresses

Primary practice location

11011 Queens Blvd Ste 1CC
Forest Hills, NY 11375-5438

Mailing address

6738 108TH St Apt B61
Forest Hills, NY 11375-7935
Phone (718) 490-8903

Other practice location 1

300 Flatbush Ave
Brooklyn, NY 11217-2812
Phone (718) 622-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20091208000404 NY Practitioner - Clinical Social Worker 0941349716 Reassigns benefits to 1 organization
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069699-1NYMDSocial Worker
076133NYMDSocial Worker

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780801209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 108TH ST APT B61",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757935",
            "telephone_number": "718-490-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 QUEENS BLVD STE 1CC",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755438",
            "telephone_number": "718-490-8903",
            "fax_number": "718-490-8903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Flatbush Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112172812",
            "country_code": "US",
            "telephone_number": "718-622-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARGARITA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "069699-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.