Active NPI
Lisa June Cruz, LMSW
- Social Worker
- Saratoga Springs, NY
National Provider Identifier
1942933494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 108636
- Practice address
- 135 S Broadway
Saratoga Springs, NY 12866-4532 - Phone
- (518) 885-2225
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 108636 | NY | Primary |
Addresses
Primary practice location
135 S Broadway
Saratoga Springs, NY 12866-4532
Mailing address
16 Twilight Dr
Clifton Park, NY 12065-2111
Phone (518) 506-0438
Other practice location 1
2141 Eastern Pkwy
Niskayuna, NY 12309-6343
Phone (518) 506-0438
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
| License | State | Type | Specialty |
|---|---|---|---|
| 108636 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670112000000",
"number": "1942933494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 TWILIGHT DR",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120652111",
"telephone_number": "518-506-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S BROADWAY",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128664532",
"telephone_number": "518-885-2225"
}
],
"practiceLocations": [
{
"address_1": "2141 Eastern Pkwy",
"address_purpose": "LOCATION",
"city": "Niskayuna",
"state": "NY",
"postal_code": "123096343",
"country_code": "US",
"telephone_number": "518-506-0438",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "LISA",
"middle_name": "JUNE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2022-12-04",
"certification_date": "2022-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "108636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.