Individual provider · Type 1 NPI

Jessalyn Nicole Cruz, LCSW

Clinical Social Worker · Farmingville, NY

NPI number 1447597810 Active

Practice location

400 Horseblock Rd Ste H
Farmingville, NY 11738-1252

Fax (631) 233-9499

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X092828-01 (NY)
Social Worker 104100000X088320 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1447597810

Jessalyn Nicole Cruz, LCSW's National Provider Identifier is 1447597810, issued on Jan 5, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farmingville, NY. The record was last updated on Jul 16, 2026.