Individual provider Active NPI

Blanca Iris Santana, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1659492072
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R063076-1 Issued in NY
Practice address
175 W 76TH St
Suite 2G
New York, NY 10023-8302
Phone
(646) 765-6349
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R063076-1 NY Primary

Addresses

Primary practice location

175 W 76TH St
Suite 2G
New York, NY 10023-8302

Mailing address

1150 Pelham Pkwy S Apt 2G
Bronx, NY 10461-1010
Phone (646) 765-6349

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R063076-1NYMDClinical Social Worker
063076NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Association of Progressive Dominicans, Inc PastSince Jan 22, 2003 Accepting new patients
Visiting Nurse Service of New York Hospice Care PastSince Aug 22, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1659492072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 PELHAM PKWY S APT 2G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611010",
            "telephone_number": "646-765-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W 76TH ST",
            "address_2": "SUITE 2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238302",
            "telephone_number": "646-765-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "BLANCA",
        "middle_name": "IRIS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R063076-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.