Provider Demographics
NPI:1801447073
Name:FAXAS-CRUZ, CHRISTOPHER LOUIE (LCSW)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:LOUIE
Last Name:FAXAS-CRUZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 HEALTH LN
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2711
Mailing Address - Country:US
Mailing Address - Phone:401-691-6000
Mailing Address - Fax:401-738-8694
Practice Address - Street 1:50 HEALTH LN
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2711
Practice Address - Country:US
Practice Address - Phone:401-691-6000
Practice Address - Fax:401-738-8634
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2025-08-14
Deactivation Date:2025-07-11
Deactivation Code:
Reactivation Date:2025-08-09
Provider Licenses
StateLicense IDTaxonomies
RICSW041811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical