Active NPI
Michelle Santana
- Clinical Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 094156
- Practice address
- 281 1St Ave
New York, NY 10003-2925 - Phone
- (212) 420-2000
- NPI assigned
- Jan 11, 2018
- Last updated
- Sep 19, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NY | ||
| Clinical Social Worker | 1041C0700X | 094156 | NY | Primary |
Addresses
Primary practice location
281 1St Ave
New York, NY 10003-2925
Mailing address
1 Gustave L Levy PL FL 12
New York, NY 10029-6574
Other practice location 1
2381 Hylan Blvd Ste 13
Staten Island, NY 10306-3145
Phone (800) 277-4680
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Fordham University School of Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1110 S Ave
Suite 404
Staten Island, NY 10314-3411
Phone (800) 277-4680
46 Francesca LN
Staten Island, NY 10303-2101
Phone (718) 494-2858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094156 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Psychological Services, PLLC | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Locations
1110 South Ave
Ste 404
Staten Island, NY 10314
Phone (718) 663-4151
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
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.
-
- Clinical Psychologist
- Staten Island, NY
- NPI 1750154829
-
dba Integrity Senior Services
- Mental Health Counselor
- Staten Island, NY
- NPI 1972715456
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1457869562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL FL 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100032925",
"telephone_number": "212-420-2000"
}
],
"practiceLocations": [
{
"address_1": "2381 Hylan Blvd Ste 13",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103063145",
"country_code": "US",
"telephone_number": "800-277-4680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTANA",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "094156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.