Active NPI
Kristine E Santiso, LSW
- Social Worker
- Saint Marys, PA
National Provider Identifier
1093313454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW137266
- Practice address
- 20 N Michael St
Saint Marys, PA 15857-1394 - Phone
- (814) 303-2973
- Fax
- (814) 343-1932
- NPI assigned
- Oct 16, 2020
- Last updated
- Oct 16, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW137266 | PA | Primary |
Addresses
Primary practice location
20 N Michael St
Saint Marys, PA 15857-1394
Mailing address
506 Ash St
Ridgway, PA 15853-1506
Phone (814) 594-2662
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 |
|---|---|---|---|
| SW137266 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1093313454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 ASH ST",
"city": "RIDGWAY",
"state": "PA",
"postal_code": "158531506",
"telephone_number": "814-594-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N MICHAEL ST",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158571394",
"telephone_number": "814-303-2973",
"fax_number": "814-343-1932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTISO",
"first_name": "KRISTINE",
"middle_name": "E",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-16",
"last_updated": "2020-10-16",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW137266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.