Jenna Santos

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P112817 Issued in NY

Practice address

3408 Park Ave
Wantagh, NY 11793-3702

Phone

(516) 221-2123

NPI assigned

Dec 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lager LCSW, PC

  • Clinical Social Worker
  • Wantagh, NY
  • NPI 1194291773
  NPD

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1073271599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 PARK AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933702",
            "telephone_number": "516-221-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 PARK AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933702",
            "telephone_number": "516-221-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "P112817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenna@lagercounseling.org",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3408 Park Ave",
            "city": "Wantagh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117933702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra Salomon, MACCCSLP
• David I Samuels, DDS
• Diane Marsha Sandler-Derby, MSW, CASAC
• Kristin Sanfilippo, MA SPECIAL EDUCATION
• Stacey Ann Santoro, MSED
• Philip Michael Savarese, OTR/L
• Lauren Marie Scanlon
• Lauren N Schaefer, MS, OTR/L
• Lori L Schafer
• Gina E. Schafroth, MSW

• Psychologist in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.