Joe a. Santos, Acsw, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

AZ LCSW 2033 Issued in AZ

Legal business name

JOE A. SANTOS, ACSW, LCSW, PLLC

Practice address

77 Calle Portal
Suite C240
Sierra Vista, AZ 85635-2986

Phone

(520) 456-5885

Fax

(520) 452-1447

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Joe Anthony Santos, ACSW, LCSWNPI 1306076732

Title

Provider/Owner

Phone

(520) 456-5885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe Anthony Santos, ACSW,LCSW,DCSW,BCD

  • Clinical Social Worker
  • Sierra Vista, AZ
  • NPI 1306076732
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1326496233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SUNFLOWER WAY",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355530",
            "telephone_number": "520-456-5885",
            "fax_number": "520-452-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL",
            "address_2": "SUITE C240",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352986",
            "telephone_number": "520-456-5885",
            "fax_number": "520-452-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE A. SANTOS, ACSW, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "520-456-5885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "AZ LCSW 2033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Wilde MD PLLC (Wilde Desert Family Medicine)
• Jody L Jenkins, M.D.
• Valeria Lozano Jenkins, PT, DPT
• Jordan Faith Jennings
• Barbara Jean Jochum, MSW, LICSW
• Eric D. Johansen, O.D.
• John G. Chiakmakis DPM PLLC
• Janice Johnson-Cook, RPH
• Diane Gammon Johnson
• Lisa R Johnson, LCSW

• Clinical Social Worker in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.