Organization Active NPI

Kris Santamaria, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1477831204
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004448 Issued in VA
Legal business name
KRIS SANTAMARIA, LCSW
Practice address
315 Winding River LN
Suite 201
Charlottesville, VA 22911-3568
Phone
(434) 249-1304
Fax
(434) 961-2556
NPI assigned
Jul 27, 2011
Last updated
Dec 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Kris Santamaria, LCSW
Title
Owner/Clinician
Phone
(434) 249-1304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904004448 VA Primary

Addresses

Primary practice location

315 Winding River LN
Suite 201
Charlottesville, VA 22911-3568

Mailing address

1120 Snowden Dr
Charlottesville, VA 22901-1297
Phone (434) 249-1304

Other identifiers 1

IdentifierTypeStateIssuer
1821193384OtherVAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1477831204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 SNOWDEN DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011297",
            "telephone_number": "434-249-1304",
            "fax_number": "434-961-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WINDING RIVER LN",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113568",
            "telephone_number": "434-249-1304",
            "fax_number": "434-961-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS SANTAMARIA, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "SANTAMARIA",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "434-249-1304",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1821193384",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.