Active NPI
Ann Kenny-Santoro, LCSW
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1740690908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW12118
- Practice address
- 6900 Southpoint Dr N
Jacksonville, FL 32216-8007 - Phone
- (678) 910-7435
- NPI assigned
- Apr 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | CSW002350 | GA | |
| Clinical Social Worker | 1041C0700X | SW12118 | FL | Primary |
| Clinical Social Worker | 1041C0700X | CSW002350 | GA |
Addresses
Primary practice location
6900 Southpoint Dr N
Jacksonville, FL 32216-8007
Mailing address
1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone (954) 885-9500
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW12118 | FL | MD | Clinical Social Worker |
| CSW002350 | GA | MD | Military Health Care Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Performance Physical Therapy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1215598529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1740690908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1848 SE 1ST AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162875",
"telephone_number": "954-885-9500",
"fax_number": "954-885-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 SOUTHPOINT DR N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168007",
"telephone_number": "678-910-7435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY-SANTORO",
"first_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "GA",
"license": "CSW002350",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW12118",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW002350",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.