Individual provider Active NPI

Rosa Reyes-Santana, LISW

  • Clinical Social Worker
  • Hamilton, OH
National Provider Identifier
1023470622
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 1502420 Issued in OH
Practice address
1910 Fairgrove Ave Ste B
Hamilton, OH 45011-1930
Phone
(513) 867-7080
Fax
(513) 241-4333
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I 1502420 OH Primary

Addresses

Primary practice location

1910 Fairgrove Ave Ste B
Hamilton, OH 45011-1930

Mailing address

1910 Fairgrove Ave Ste B
Hamilton, OH 45011-1930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180426001657 OH Practitioner - Clinical Social Worker 5294099362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities Southwestern OhioGroup PAC ID 6901794577, 2 clinicians

Practice addresses (Care Compare)

7162 Reading Rd
Suite 600
Cincinnati, OH 45237-3800
Phone (513) 241-7745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 1502420OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Southwestern Ohio CurrentSince Nov 30, 2022 Accepting new patients
Catholic Charities of Southwestern Ohio PastSince Nov 30, 2022 Accepting new patients

Locations

7162 Reading Rd
Ste 600
Cincinnati, OH 45237
Phone (513) 241-7745

1910 Fairgrove Ave
Ste B
Hamilton, OH 45011
Phone (513) 489-8898

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccswoh/r4/
  • FHIR API: https://api.platform.athenahealth.com/5507/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1023470622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 FAIRGROVE AVE STE B",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450111930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 FAIRGROVE AVE STE B",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450111930",
            "telephone_number": "513-867-7080",
            "fax_number": "513-241-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-SANTANA",
        "first_name": "ROSA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 1502420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.