HILKA M RIVERA-CRUZ LCSW
NPI 1225814734
Social Worker - Clinical in Winter Garden, FL

Q: What is Hilka Rivera-cruz's NPI number?

The NPI number for Hilka Rivera-cruz is 1225814734. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Q: What is Hilka Rivera-cruz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hilka Rivera-cruz was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since August 31, 2023PECOS EnrolledAccepts Medicare Assignment

13350 W COLONIAL DR STE 340, WINTER GARDEN, FL 34787(407) 654-4433 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2026, Dec 19, 2025, Aug 31, 2023 (3 updates tracked since 2023).

On this page

About Hilka M Rivera-cruz Lcsw NPPES

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

HILKA M RIVERA-CRUZ LCSW (NPI 1225814734) is an individual clinical provider in Winter Garden, Florida, licensed in Florida (SW23958) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225814734

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameHILKA M RIVERA-CRUZCredential: LCSW

Location Address13350 W COLONIAL DR STE 340Winter Garden, FL 34787-3977

Mailing Address13350 W Colonial Dr Ste 340Winter Garden, FL 34787-3977 · (407) 654-4433 · Fax (407) 926-0209

Phone(407) 654-4433

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 31, 2023

Last NPPES UpdateMay 18, 20263 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1225814734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW23958

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

13350 W COLONIAL DR STE 340, Winter Garden, FL 34787

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hilka M Rivera-cruz Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436686623

PECOS Enrollment IDI20241230002848

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 Hilka Rivera-cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling Resource Services, Inc.

Same address

Community/Behavioral Health

13350 W COLONIAL DR, SUITE 340
Winter Garden, FL 34787

Reassigned Medicare billing, Florida enrollment
47 clinicians in this Medicare group

NPI 1164819041 (407) 654-4433

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 34787 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 $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

MRS. BRENDA SANTOS-SOTO L.C.S.W.

Social Worker (Clinical)