Romel Powell Santiago, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16753 Issued in FL

Practice address

1210 Millennium Pkwy Ste 1030
Brandon, FL 33511-4858

Phone

(813) 461-3098

Fax

(813) 475-4431

NPI assigned

Oct 17, 2019

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Romeo's Sensation LLC

  • Clinical Social Worker
  • Maitland, FL
  • NPI 1639797772
  Authorized official Same address or phone

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1487296851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263244",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336853244",
            "telephone_number": "813-461-3098",
            "fax_number": "813-475-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MILLENNIUM PKWY STE 1030",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114858",
            "telephone_number": "813-461-3098",
            "fax_number": "813-475-4431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Estancia Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612607",
            "country_code": "US",
            "telephone_number": "813-461-3098",
            "fax_number": "813-475-4431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "531 Versailles Dr",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517317",
            "country_code": "US",
            "telephone_number": "813-461-3098",
            "fax_number": "813-475-4431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "ROMEL",
        "middle_name": "POWELL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16753",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23565",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107156800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2430 Estancia Blvd Ste 106",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337612607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Genesis Santana
• Claudia Santiago Loriga
• Beatriz Santiago-Guzman
• Leslie Santiago
• Milagros Santiago
• William Santiago, PHARM D, RPH
• Ana Paola Santos-Levy, PA
• Mariely Maritza Santos, DENTIST
• Santurce Medical Center LLC
• Sapphire Brandon LTD (Brandon Open MRI)

• Clinical Social Worker in Brandon, FL
• Providers in Brandon, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.