Brendaly Nieves Santiago, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904015816 Issued in VA

Practice address

96 Campbell St
Harrisonburg, VA 22801-4010

Phone

(540) 433-1546

NPI assigned

Sep 25, 2023

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Counseling CenterGroup PAC ID 6800286337, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Counseling Center

  dba Center for Marriage and Family Counseling

  • Community/Behavioral Health Agency
  • Harrisonburg, VA
  • NPI 1639218373
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1396524815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 S LIBERTY ST APT B",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013636",
            "telephone_number": "540-383-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CAMPBELL ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228014010",
            "telephone_number": "540-433-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES SANTIAGO",
        "first_name": "BRENDALY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Newsome, MD
• Jenny Kim Nguyen, OTR/L
• Tam Thanh Nguyen, RPH
• Nieder Chiropractic & Rehabilitation, Inc.
• Todd Allen Nieder, DC
• Nina K Smith, M.D. PLC
• Deborah Agnes Nio, M.D.
• George Maynard Nipe III, L.P.C.
• No Sweat Fitness Express LLC (Energie Wellness Soulutions)
• Jamee Alena Noel, PA-C

• Clinical Social Worker in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.