Individual provider Active NPI

Fatima P Santana, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1407562358
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095239 Issued in NY
Practice address
762 Brady Ave Apt 521
Bronx, NY 10462-2739
Phone
(732) 896-0926
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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 095239 NY Primary
School Social Worker 1041S0200X 2122597 NY

Addresses

Primary practice location

762 Brady Ave Apt 521
Bronx, NY 10462-2739

Mailing address

762 Brady Ave Apt 521
Bronx, NY 10462-2739
Phone (732) 896-0926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230522000152 NY Practitioner - Clinical Social Worker 2769848530

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Footprints Mental Health Counseling, PCGroup PAC ID 2163836370, 14 clinicians

Practice addresses (Care Compare)

3249 Kingsbridge Ave
Bronx, NY 10463-5514
Phone (646) 204-2295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095239NYMDClinical Social Worker
2122597NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Footprints Mental Health Counseling, P. C. CurrentSince May 2, 2023 Accepting new patients
Clinical Therapy for All LCSW, PLLC Clinical CurrentSince Nov 24, 2025 Accepting new patients

Organizations & group practices 2

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1407562358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 BRADY AVE APT 521",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622739",
            "telephone_number": "732-896-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 BRADY AVE APT 521",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622739",
            "telephone_number": "732-896-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "FATIMA",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095239",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "2122597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.