Active NPI
Clarissa Santiago, MSW
- Clinical Social Worker
- Bothell, WA
National Provider Identifier
1093575599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SA61470875
- Practice address
- 3027 183Rd St SE
Bothell, WA 98012-9323 - Phone
- (425) 417-4669
- NPI assigned
- Mar 21, 2024
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SA61470875 | WA | Primary |
Addresses
Primary practice location
3027 183Rd St SE
Bothell, WA 98012-9323
Mailing address
3027 183Rd St SE
Bothell, WA 98012-9323
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 |
|---|---|---|---|
| SA61470875 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1093575599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 183RD ST SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980129323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 183RD ST SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980129323",
"telephone_number": "425-417-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "CLARISSA",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SA61470875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.