Individual provider Active NPI

Alicia Santilli, LISW

  • Clinical Social Worker
  • Youngstown, OH
National Provider Identifier
1417488198
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I. 1700200 Issued in OH
Practice address
1319 Florencedale Ave
Youngstown, OH 44505-2712
Phone
(330) 743-4673
Fax
(330) 743-9004
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I. 1700200 OH Primary

Addresses

Primary practice location

1319 Florencedale Ave
Youngstown, OH 44505-2712

Mailing address

1319 Florencedale Ave
Youngstown, OH 44505-2712
Phone (330) 743-4673

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL atcov.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200417000951 OH Practitioner - Clinical Social Worker 6608206560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H O P E Counseling and Addiction Services LLCGroup PAC ID 6002245180, 2 clinicians

Practice addresses (Care Compare)

1319 Florencedale Ave
Youngstown, OH 44505-2719
Phone (330) 743-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I. 1700200OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
H O P E Counseling and Addiction Services LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

1319 Florencedale Ave
Youngstown, OH 44505
Phone (330) 743-4673

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1417488198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 FLORENCEDALE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052712",
            "telephone_number": "330-743-4673",
            "fax_number": "330-743-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 FLORENCEDALE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052712",
            "telephone_number": "330-743-4673",
            "fax_number": "330-743-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLI",
        "first_name": "ALICIA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 1700200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "atcov.org",
            "affiliation": "N",
            "address_1": "1319 Florencedale Ave",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445052712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.