Individual provider Active NPI

Xiomara Santos-Abreu, MSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1194146332
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
039054-1 Issued in NY
Practice address
2940 Grand Concourse
Bronx, NY 10458-2611
Phone
(347) 272-9787
Fax
(201) 483-4748
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 039054-1 NY Primary

Addresses

Primary practice location

2940 Grand Concourse
Bronx, NY 10458-2611

Mailing address

2940 Grand Concourse Ave.
Suite #E/D
Bronx, NY 10458
Phone (347) 272-9787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000536 NY Practitioner - Clinical Social Worker 9739113929 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

604 W 162ND St
Apt 1E
New York, NY 10032-5662
Phone (347) 272-9787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074942NYMDSocial Worker
039054-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for the Puerto Rican Hispanic Elderly Inc. Clinical Past Accepting new patients
Samuel Field Ym&Ywha Past Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1194146332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 GRAND CONCOURSE AVE.",
            "address_2": "SUITE #E/D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "347-272-9787",
            "fax_number": "201-483-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582611",
            "telephone_number": "347-272-9787",
            "fax_number": "201-483-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-ABREU",
        "first_name": "XIOMARA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "039054-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.