Organization Active NPI

Irma I Santiago-Moin

  • Clinical Social Worker
  • Bridgeport, CT
National Provider Identifier
1477145993
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
IRMA I SANTIAGO-MOIN
Practice address
1000 Lafayette Blvd FL 11
Bridgeport, CT 06604-4725
Phone
(203) 964-7941
NPI assigned
Feb 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Irma I Santiago Moin, LCSWNPI 1699910844
Title
Member
Phone
(203) 964-7941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1000 Lafayette Blvd FL 11
Bridgeport, CT 06604-4725

Mailing address

1946 Chapel St
New Haven, CT 06515-2211
Phone (203) 964-7941

Other identifiers 1

IdentifierTypeStateIssuer
008043652MedicaidCT

Other names 1

  • POSITIVE PRINCIPLES Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220831000569 CT Part B Supplier - Clinic/Group Practice 7113301789 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgeport, CT

National Provider Directory

National Provider Directory

Locations

1200 High Ridge Rd
Ste 2
Stamford, CT 06905
Phone (203) 964-7941

6 Landmark Sq
Fl 4
Stamford, CT 06901
Phone (203) 439-3946

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1477145993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152211",
            "telephone_number": "203-964-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAFAYETTE BLVD FL 11",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044725",
            "telephone_number": "203-964-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRMA I SANTIAGO-MOIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO MOIN",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-964-7941",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008043652",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POSITIVE PRINCIPLES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "POSITIVE PRINCIPLES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.