Active NPI
Samantha Santo
- Clinical Social Worker
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SL06308900
- Practice address
- 4 Forest Ave
Paramus, NJ 07652-5214 - Phone
- (888) 224-7312
- NPI assigned
- Mar 22, 2018
- Last updated
- Jul 18, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 44SL06308900 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SL06308900 | NJ | Primary |
Addresses
Primary practice location
4 Forest Ave
Paramus, NJ 07652-5214
Mailing address
4 Forest Ave FL 2
Paramus, NJ 07652-5214
Phone (201) 565-2920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Pleasant Valley Way
Suite 305
West Orange, NJ 07052-2956
Phone (862) 658-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06308900 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stacey Nicholas LLC | Clinical | Current | Accepting new patients |
| Forge Medical Group, LLC | Current | Accepting new patients | |
| Forge Medical Group, LLC | Current | Accepting new patients |
Locations
285 E Main St
Somerville, NJ 08876
Phone (908) 295-2007
1500 Pleasant Valley Way
Ste 305
West Orange, NJ 07052
Phone (862) 658-6700
10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1336643493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FOREST AVE FL 2",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076525214",
"telephone_number": "201-565-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 FOREST AVE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076525214",
"telephone_number": "888-224-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTO",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2024-07-18",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "44SL06308900",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL06308900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.