Active NPI
Stefan R Van Sant
- Social Worker
- Marietta, GA
National Provider Identifier
1790404044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW010710
- Practice address
- 830 S Commons Apt 5
Marietta, GA 30062-2330 - Phone
- (855) 284-7483
- Fax
- (617) 807-0958
- NPI assigned
- Aug 22, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW010710 | GA | Primary |
| Social Worker | 104100000X | 127256 | NY |
Addresses
Primary practice location
830 S Commons Apt 5
Marietta, GA 30062-2330
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483
Other practice location 1
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Phone (718) 504-9256
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
| License | State | Type | Specialty |
|---|---|---|---|
| MSW010710 | GA | MD | Social Worker |
| 127256 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | 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.
-
- Clinical Social Worker
- Bayside, NY
- NPI 1982798773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1790404044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748465",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748465",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S COMMONS APT 5",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300622330",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958"
}
],
"practiceLocations": [
{
"address_1": "3635 Bell Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Bayside",
"state": "NY",
"postal_code": "113612097",
"country_code": "US",
"telephone_number": "718-504-9256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN SANT",
"first_name": "STEFAN",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-22",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW010710",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "127256",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.