Individual provider Active NPI

Debra Santora, LCSW

  • Clinical Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1043369663
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0435201 Issued in NY
Practice address
316 Titusville Rd
Poughkeepsie, NY 12603-2944
Phone
(914) 450-9474
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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 R0435201 NY Primary

Addresses

Primary practice location

316 Titusville Rd
Poughkeepsie, NY 12603-2944

Mailing address

189 Reilly Rd
Lagrangeville, NY 12540-6100
Phone (914) 450-9474

Other names 1

  • Debra Gold Santora Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040825001530 NY Practitioner - Clinical Social Worker 6002880846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Vassar St
Poughkeepsie, NY 12601-3022
Phone (914) 450-9474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0435201NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Santora LCSW PC CurrentSince Apr 27, 2021 Accepting new patients
Westchester Faculty Psychological Associates PC Past Accepting new patients

Locations

9 Vassar St
Poughkeepsie, NY 12601
Phone (845) 473-1265

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1043369663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 REILLY RD",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125406100",
            "telephone_number": "914-450-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 TITUSVILLE RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032944",
            "telephone_number": "914-450-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORA",
        "first_name": "DEBRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0435201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "GOLD SANTORA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.