Active NPI
Jennifer Santini, LCSW
- Social Worker
- Madison, CT
National Provider Identifier
1275159394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5216
- Practice address
- 71 Bradley Rd Unit 6
Madison, CT 06443-2662 - Phone
- (203) 421-6242
- NPI assigned
- Jun 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 012172 | CT | |
| Social Worker | 104100000X | 5216 | CT | Primary |
Addresses
Primary practice location
71 Bradley Rd Unit 6
Madison, CT 06443-2662
Mailing address
71 Bradley Rd Unit 6
Madison, CT 06443-2662
Phone (203) 421-6242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 10, 2025 through Mar 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5216 | CT | MD | Professional Counselor |
| 012172 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1275159394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 BRADLEY RD UNIT 6",
"city": "MADISON",
"state": "CT",
"postal_code": "064432662",
"telephone_number": "203-421-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 BRADLEY RD UNIT 6",
"city": "MADISON",
"state": "CT",
"postal_code": "064432662",
"telephone_number": "203-421-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTINI",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "012172",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "5216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.