Santo Presti Cricchio, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MSW009357 Issued in GA

Practice address

4411 Suwanee Dam Rd Ste 720
Suwanee, GA 30024-8708

Phone

(678) 993-8494

Fax

(678) 804-1834

NPI assigned

Aug 13, 2020

Sex

Male

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

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1215548136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 SUWANEE DAM RD STE 720",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248708",
            "telephone_number": "678-993-8494",
            "fax_number": "678-804-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 SUWANEE DAM RD STE 720",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248708",
            "telephone_number": "678-993-8494",
            "fax_number": "678-804-1834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "591 Flint River Rd.",
            "address_2": "St. Philip Benizi",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302383413",
            "country_code": "US",
            "telephone_number": "678-993-8494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRICCHIO",
        "first_name": "SANTO",
        "middle_name": "PRESTI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW009357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frsanto@holyfamilycounselingcenter.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA Compliant email",
            "address_1": "4411 Suwanee Dam Rd Ste 720",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300248708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.