JESSALYN NICOLE CRUZ LCSW
NPI 1447597810
Social Worker - Clinical in Farmingville, NY

Q: What is Jessalyn Cruz's NPI number?

The NPI number for Jessalyn Cruz is 1447597810. It was assigned to this individual provider in the NPPES registry on January 5, 2013.

Q: What is Jessalyn Cruz's specialty?

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

Q: Is Jessalyn Cruz enrolled in Medicare?

No. Jessalyn Cruz has opted out of Medicare through June 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jessalyn Cruz was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 05, 2013Opted out of Medicare · through Jun 1, 2028

400 HORSEBLOCK RD STE H, FARMINGVILLE, NY 11738(631) 233-9490(631) 233-9499 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 16, 2026, Mar 21, 2023 (2 updates tracked since 2023).

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About Jessalyn Nicole Cruz Lcsw NPPES

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

JESSALYN NICOLE CRUZ LCSW (NPI 1447597810) is an individual clinical provider in Farmingville, New York, licensed in New York (092828-01) and active in the NPI registry since January 2013. She has opted out of Medicare through June 1, 2028.

NPPES Registry Identity

NPI1447597810

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSALYN NICOLE CRUZCredential: LCSW

Location Address400 HORSEBLOCK RD STE HFarmingville, NY 11738-1252

Mailing Address400 Horseblock Rd Ste HFarmingville, NY 11738-1252 · (631) 233-9490 · Fax (631) 233-9499

Phone(631) 233-9490

Fax(631) 233-9499

Sole ProprietorNo

Enumeration DateJanuary 5, 2013

Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1447597810 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 NY · 092828-01

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 ListedSocial WorkerTaxonomy 104100000X · License 088320 (NY)

400 HORSEBLOCK RD STE H, Farmingville, NY 11738

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jessalyn Nicole Cruz Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 1, 2026 through June 1, 2028.

Opt-Out Effective DateJune 1, 2026

Opt-Out In Effect ThroughJune 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

DR. ARARY B CANAVARROS M.D

Internal Medicine