Individual provider Active NPI

Judith P Santy, LICSW

  • Clinical Social Worker
  • Woodsville, NH
National Provider Identifier
1396961744
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1466 Issued in NH
Practice address
79 Swiftwater Rd
Woodsville, NH 03785-1447
Phone
(603) 747-3740
Fax
(603) 747-0416
NPI assigned
Apr 17, 2007
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1466 NH Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

79 Swiftwater Rd
Woodsville, NH 03785-1447

Mailing address

79 Swiftwater Rd
Woodsville, NH 03785-1447
Phone (603) 747-3740

Other practice location 1

3 12th St
Berlin, NH 03570-3860
Phone (603) 752-7404

Other identifiers 1

IdentifierTypeStateIssuer
3105382MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20170816000396 NH Practitioner - Clinical Social Worker 6204108947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

79 Swiftwater Rd
Woodsville, NH 03785-1420
Phone (603) 747-3740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1466NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ammonoosuc Community Health Services, Inc CurrentSince May 27, 2017 Accepting new patients
Ammonoosuc Community Health Services Inc CurrentSince May 27, 2017 Accepting new patients
Ammonoosuc Community Health Services, Inc Past Accepting new patients

Locations

1095 Profile Rd
#B
Franconia, NH 03580
Phone (603) 444-2464

25 Mount Eustis Rd
Littleton, NH 03561
Phone (603) 444-2464

333 NH Route 25
Warren, NH 03279
Phone (603) 764-5704

14 King Sq
Whitefield, NH 03598
Phone (603) 837-2333

79 Swiftwater Rd
Woodsville, NH 03785
Phone (603) 747-3709

Interoperability endpoints

  • Direct secure messaging: judithsanty@achs.medalliesdirect.net

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1396961744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SWIFTWATER RD",
            "city": "WOODSVILLE",
            "state": "NH",
            "postal_code": "037851447",
            "telephone_number": "603-747-3740",
            "fax_number": "603-747-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SWIFTWATER RD",
            "city": "WOODSVILLE",
            "state": "NH",
            "postal_code": "037851447",
            "telephone_number": "603-747-3740",
            "fax_number": "603-747-0416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 12th St",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NH",
            "postal_code": "035703860",
            "country_code": "US",
            "telephone_number": "603-752-7404",
            "fax_number": "603-752-5194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTY",
        "first_name": "JUDITH",
        "middle_name": "P",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1466",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3105382",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodsville, NH

Sources for this page

Verify at the official NPI Registry.