KC Santistevan, MSW, PCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PCSW-645 Issued in WY

Practice address

2001 Dewar Dr
#270
Rock Springs, WY 82901-5773

Phone

(435) 764-5237

NPI assigned

Oct 17, 2016

Last updated

Oct 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1538610324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3672 S 100 W",
            "city": "NIBLEY",
            "state": "UT",
            "postal_code": "843217983",
            "telephone_number": "435-764-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 DEWAR DR",
            "address_2": "#270",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015773",
            "telephone_number": "435-764-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTISTEVAN",
        "first_name": "KC",
        "credential": "MSW, PCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage View SNF Operations, LLC (Sage View Care Center)
• Misty A Sain, LPC
• Tara April Salazar
• Tina Sam
• Mark A Sanders, PA-C
• William O Sarette, MD
• Taryn Scheef
• Bryan Eric Scheer, M.D.
• Paula Ceiann Scheneman, BSN, RN
• Laura Schmid-Pizzato, LCSW

• Clinical Social Worker in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.