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WESLEY CRUZ LICSW
NPI 1184341588
Social Worker - Clinical in Woonsocket, RI

Active since October 26, 2022PECOS Enrolled
800 CLINTON ST, WOONSOCKET, RI 02895(401) 235-7000(401) 767-4516 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Wesley Cruz Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESLEY CRUZ LICSW (NPI 1184341588) is an individual clinical provider in Woonsocket, Rhode Island, licensed in Rhode Island (ICSW03647) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184341588
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameWESLEY CRUZCredential: LICSW
Location Address800 CLINTON STWoonsocket, RI 02895-3245
Mailing AddressPo Box 1700Woonsocket, RI 02895-0856 · (401) 235-7000
Phone(401) 235-7000
Fax(401) 767-4516
Sole ProprietorNo
Enumeration DateOctober 26, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1184341588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · ICSW03647
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
800 CLINTON ST, Woonsocket, RI 02895
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wesley Cruz Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Wesley Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blackstone Valley Community Health Care, Inc.
10.0 mi
Federally Qualified Health Center (FQHC)
9 CHESTNUT ST
Central Falls, RI 02863
  • Reassigned Medicare billing, Rhode Island enrollment
  • 75 clinicians in this Medicare group
NPI 1275847766 (401) 722-0081

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02895 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARITA LUNA RN
Registered Nurse
800 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 235-7000
LAURA FIDRYCH
Social Worker (Clinical)
800 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 235-7000
MATHEW FREIMUTH LCSW
Social Worker (Clinical)
800 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 235-7000
DANIEL BARBOSA
Counselor (Mental Health)
800 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 235-7000
MICHELLE TAYLOR LMHC
Counselor (Mental Health)
800 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 235-7000
KAYLA DURAND
Case Manager/Care Coordinator
800 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 235-7000
BETHANY KILLIAN LCSW
Social Worker (Clinical)
800 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 235-7000
JUSTINE ALLENSON
Social Worker (Clinical)
800 CLINTON ST
WOONSOCKET, RI 02895
Providence County (401) 235-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wesley Cruz's NPI number?

The NPI number for Wesley Cruz is 1184341588. It was assigned to this individual provider in the NPPES registry on October 26, 2022.

Where is Wesley Cruz located?

Wesley Cruz practices at 800 Clinton St, Woonsocket, RI 02895. The listed phone number is (401) 235-7000.

What is Wesley Cruz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Wesley Cruz enrolled in Medicare?

Yes. Wesley Cruz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wesley Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wesley Cruz reassigns Medicare benefits to Blackstone Valley Community Health Care, Inc. (Central Falls, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wesley Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wesley Cruz accept?

Health plans from Harvard Pilgrim Health Care list Wesley Cruz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wesley Cruz was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.