Individual provider Active NPI

Yohanny Giselle Santana, LMSW

  • Clinical Social Worker
  • Rutland, VT
National Provider Identifier
1316209687
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15787 Issued in FL
Practice address
215 Stratton Rd
Rutland, VT 05701-4621
Phone
(800) 468-9118
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0134198 VT
Social Worker 104100000X 092426 NY
Clinical Social Worker 1041C0700X 086870-01 NY
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X SW15787 FL Primary

Addresses

Primary practice location

215 Stratton Rd
Rutland, VT 05701-4621

Mailing address

2021 Grand Concourse
Bronx, NY 10453-4304
Phone (718) 960-0300

Other practice location 1

71 Allen St Ste 403
Rutland, VT 05701-4570
Phone (800) 468-9118

Other practice location 2

275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641

Other practice location 3

1 General Wing Rd
Rutland, VT 05701-4681
Phone (800) 468-9118

Other practice location 4

2987 Vt Route 22A
Shoreham, VT 05770-9728
Phone (802) 897-7000

Other practice location 5

278 Vt Route 149
West Pawlet, VT 05775-9798
Phone (802) 645-0580

Other practice location 6

420 Grove St
Brandon, VT 05733-9062
Phone (802) 247-6305

Other practice location 7

2021 Grand Concourse
Bronx, NY 10453-4304
Phone (718) 960-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20190523001303 VT Practitioner - Clinical Social Worker 4789927203 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of the Rutland Region IncGroup PAC ID 2961467386, shared by 9 NPIs, 103 clinicians

Practice addresses (Care Compare)

231 N Main St
Rutland, VT 05701-2412
Phone (800) 468-9118

275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092426NYMDSocial Worker
SW15787FLMDClinical Social Worker
086870-01NYMDClinical Social Worker
089.0134198VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. CurrentSince May 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region Inc CurrentSince May 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince May 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince May 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region Inc CurrentSince May 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince May 1, 2019 Accepting new patients
Community Health Centers of the Rutland Region, Inc Past Accepting new patients

Locations

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

231 N Main St
Rutland, VT 05701
Phone (800) 468-9118

215 Stratton Rd
#1
Rutland, VT 05701

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 403
Rutland, VT 05701
Phone (802) 772-4414

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Interoperability endpoints

  • Direct secure messaging: ysantana@chcrr.medentdirect.com

Organizations & group practices 7

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1316209687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534304",
            "telephone_number": "718-960-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 STRATTON RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014621",
            "telephone_number": "800-468-9118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Allen St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014570",
            "country_code": "US",
            "telephone_number": "800-468-9118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Route 30 N",
            "address_purpose": "LOCATION",
            "city": "Bomoseen",
            "state": "VT",
            "postal_code": "057329647",
            "country_code": "US",
            "telephone_number": "802-468-5641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 General Wing Rd",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014681",
            "country_code": "US",
            "telephone_number": "800-468-9118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2987 Vt Route 22A",
            "address_purpose": "LOCATION",
            "city": "Shoreham",
            "state": "VT",
            "postal_code": "057709728",
            "country_code": "US",
            "telephone_number": "802-897-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "278 Vt Route 149",
            "address_purpose": "LOCATION",
            "city": "West Pawlet",
            "state": "VT",
            "postal_code": "057759798",
            "country_code": "US",
            "telephone_number": "802-645-0580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Grove St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "VT",
            "postal_code": "057339062",
            "country_code": "US",
            "telephone_number": "802-247-6305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104534304",
            "country_code": "US",
            "telephone_number": "718-960-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "YOHANNY",
        "middle_name": "GISELLE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134198",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092426",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086870-01",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.