Altagracia Santana-Pichardo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05619500 Issued in NJ

Practice address

32 Harbor Bay Cir
Laurence Harbor, NJ 08879-2924

Phone

(917) 673-1071

NPI assigned

Feb 26, 2009

Last updated

Apr 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1124268446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HARBOR BAY CIR",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "088792924",
            "telephone_number": "917-673-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HARBOR BAY CIR",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "088792924",
            "telephone_number": "917-673-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA-PICHARDO",
        "first_name": "ALTAGRACIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077787",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14249",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12252",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05619500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arwa Kamruddin
• Alexandra Levenshteyn
• Heather Ann Macleod, ED.D.
• Jennifer Melara, BA
• Florence Ojo, PHARM.D, CCP, RPH
• Dhavalkumar I Shah
• Irina M Shumskaya, MD
• Ahmed Sleem
• Grace Lyzette Umali, DPT
• Lisa Renee Whitehead, RRT

• Clinical Social Worker in Laurence Harbor, NJ
• Providers in Laurence Harbor, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.