Krista Santos, LCSW LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

44SC05759600 Issued in NJ

Legal business name

KRISTA SANTOS, LCSW LLC

Practice address

1 Franklin Ave
Nutley, NJ 07110-3202

Phone

(973) 667-6074

NPI assigned

Apr 27, 2018

Last updated

Apr 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Krista D Santos, LCSWNPI 1518473917

Title

Owner

Phone

(908) 425-0103

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krista Santos, LCSW

  • Clinical Social Worker
  • Nutley, NJ
  • NPI 1518473917
  NPD (past) Authorized official
• Kathleen Pete, LPC

  • Mental Health Counselor
  • Nutley, NJ
  • NPI 1619233210
  NPD (past)

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1073001830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LAKE SHORE DR",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661409",
            "telephone_number": "908-425-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103202",
            "telephone_number": "973-667-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTA SANTOS, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-425-0103",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "44SC05759600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Kothari, PA-C
• Marissa Koziar, PH.D.
• Jeffrey Mark Kranis, DMD
• Jordyn Kranis, PT, DPT
• Konstantin Krepkin, M.D.
• Leat Kuzniar, N.D.
• Nicole Lynn Lacz, M.D.
• Bridget Lalley
• Joshua Seth Landsman, DDS
• Alkies Lapas, D.O.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.