Active NPI
Nayeli Lizbeth Hernandez Santiago, ACSW
- Clinical Social Worker
- Cerritos, CA
National Provider Identifier
1043872070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ACSW104815
- Practice address
- 11050 Artesia Blvd Ste E
Cerritos, CA 90703-2542 - Phone
- (562) 860-8838
- Fax
- (562) 860-0248
- NPI assigned
- Jun 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ACSW104815 | CA | |
| Social Worker | 104100000X | ACSW104815 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | ACSW104815 | CA | Primary |
Addresses
Primary practice location
11050 Artesia Blvd Ste E
Cerritos, CA 90703-2542
Mailing address
11050 Artesia Blvd Ste E
Cerritos, CA 90703-2542
Phone (562) 860-8838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW104815 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1043872070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11050 ARTESIA BLVD STE E",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032542",
"telephone_number": "562-860-8838",
"fax_number": "562-860-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 ARTESIA BLVD STE E",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032542",
"telephone_number": "562-860-8838",
"fax_number": "562-860-0248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ SANTIAGO",
"first_name": "NAYELI",
"middle_name": "LIZBETH",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-29",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ACSW104815",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ACSW104815",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ACSW104815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.