Abby Brock Santiago, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4274C Issued in AL

Practice address

3000 Riverchase Galleria Ste 500
Hoover, AL 35244-2365

Phone

(205) 994-8811

Fax

(205) 994-8812

NPI assigned

Apr 1, 2019

Last updated

Apr 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Abby McGee Brock Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grayson and Associates PCGroup PAC ID 9032108253, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grayson and Associates PC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1194772442

  Clinical

  Medicare reassignment Care Compare group NPD
• SVPS Psychiatric Services LLC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1447528591
  NPD (past)

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1548722408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 WOODFERN CT",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352091704",
            "telephone_number": "205-960-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 RIVERCHASE GALLERIA STE 500",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442365",
            "telephone_number": "205-994-8811",
            "fax_number": "205-994-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "ABBY",
        "middle_name": "BROCK",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4274C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "BROCK",
            "middle_name": "MCGEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert E Sanderson, D.M.D.
• Trinity Sakura Sandlin
• Hannah Ann Sands, MA, BCBA, LBA
• Pamela Letrice Sanker, CRNP
• Emily Sansom, DPT
• Nameeta Sarin, P.T
• Ronald Michael Sass
• Jennifer Cloud Sasser, LICSW
• Laney M Savage, PHARMACIST
• Ashley Dawn Scarbrough, MS, ALC

• Clinical Social Worker in Hoover, AL
• Providers in Hoover, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.