Individual provider Active NPI

Melanie Santiago, LMSW

  • Social Worker
  • Long Island City, NY
National Provider Identifier
1528580149
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
100454 Issued in NY
Practice address
3646 37TH St FL 2
Long Island City, NY 11101-1606
Phone
(718) 897-7904
Fax
(718) 786-8616
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 100454 NY Primary

Addresses

Primary practice location

3646 37TH St FL 2
Long Island City, NY 11101-1606

Mailing address

54 Boerum St Apt 4S
Brooklyn, NY 11206-2428
Phone (347) 845-3181

Other practice location 1

260 Broadway Fl 4
Brooklyn, NY 11211-8433
Phone (718) 622-2910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100454NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1528580149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BOERUM ST APT 4S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112062428",
            "telephone_number": "347-845-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 37TH ST FL 2",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011606",
            "telephone_number": "718-897-7904",
            "fax_number": "718-786-8616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Broadway Fl 4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112118433",
            "country_code": "US",
            "telephone_number": "718-622-2910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "MELANIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "100454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.