Active NPI
Noemy Santos, MSW
- Social Worker
- Malden, MA
National Provider Identifier
1740812627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 22 Pleasant St # 2000
Malden, MA 02148-5119 - Phone
- (774) 512-2805
- NPI assigned
- Feb 7, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
22 Pleasant St # 2000
Malden, MA 02148-5119
Mailing address
17 Hauman St
Revere, MA 02151-2316
Phone (781) 656-3545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Columbia University College of Physicians and Surgeons, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
867 Boylston St
Boston, MA 02116-2774
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KM Collaborative Inc | Single Specialty | Current | Accepting new patients |
Locations
867 Boylston St
Boston, MA 02116
Phone (617) 693-5767
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1740812627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 HAUMAN ST",
"city": "REVERE",
"state": "MA",
"postal_code": "021512316",
"telephone_number": "781-656-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PLEASANT ST # 2000",
"city": "MALDEN",
"state": "MA",
"postal_code": "021485119",
"telephone_number": "774-512-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "NOEMY",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.