Mari Zol Santos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114631 Issued in CA

Practice address

9668 Milliken Ave Ste 104-183
Rancho Cucamonga, CA 91730-6137

Phone

(626) 692-5954

NPI assigned

Nov 11, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• Soleil Vitality Psychotherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rancho Cucamonga, CA
  • NPI 1336957455
  NPD Authorized official

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1629613963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9668 MILLIKEN AVE STE 104-183",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306137",
            "telephone_number": "626-692-5954",
            "fax_number": "909-476-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9668 MILLIKEN AVE STE 104-183",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306137",
            "telephone_number": "626-692-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MARI",
        "middle_name": "ZOL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherene Santiago
• Abigail Gricelda Santillan
• Caleb Santos
• Gabriela Santos
• Laidisha Santos
• Matt Laris Santos
• Stephanie Santos
• Valerie Marie Santos
• Sapphire Hospice Care, Inc.
• Sara El-Sherbini DMD Inc

• Clinical Social Worker in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.