Individual
CATHERINE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCDP
Contact information
Practice address
100 LAFAYETTE ST, 103, PAWTUCKET, RI 02860-6008
(401) 729-9916
Mailing address
100 LAFAYETTE ST, PAWTUCKET, RI 02860-6008
(401) 729-9916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00223
RI
1041C0700X
Clinical Social Worker
ISW00654
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26463-3
BLUE CROSS PROVIDER NUMBE
RI
Enumeration date
09/26/2006
Last updated
09/11/2025
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