Individual provider Active NPI

Sarah Santiago Adeva

  • Clinical Social Worker
  • Fairfield, CA
National Provider Identifier
1689543399
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW101355 Issued in CA
Practice address
3001 N Texas St Apt 117
Fairfield, CA 94533-7325
Phone
(707) 208-2655
NPI assigned
Oct 31, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

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
LCSW101355CAMDClinical Social Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW101355 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

3001 N Texas St Apt 117
Fairfield, CA 94533-7325

Mailing address

3001 N Texas St Apt 117
Fairfield, CA 94533-7325
Phone (707) 208-2655

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2025.

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1689543399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N TEXAS ST APT 117",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945337325",
            "telephone_number": "707-208-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N TEXAS ST APT 117",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945337325",
            "telephone_number": "707-208-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEVA",
        "first_name": "SARAH",
        "middle_name": "SANTIAGO",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW101355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.