Flor de Liz Santiago Fernandez, LCSW, ASD SPECIALIST

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW22491 Issued in FL

Practice address

8600 SW 212TH St Apt 210
Cutler Bay, FL 33189-3812

Phone

(786) 263-3965

NPI assigned

Mar 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Balance Therapy, LLC

  • Clinical Social Worker
  • Cutler Bay, FL
  • NPI 1447879465
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1831724665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SW 212TH ST APT 210",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893812",
            "telephone_number": "786-263-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SW 212TH ST APT 210",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893812",
            "telephone_number": "786-263-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO FERNANDEZ",
        "first_name": "FLOR DE LIZ",
        "credential": "LCSW, ASD SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "12775",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hernando Santacoloma, PHARMD
• Daynell Santana Echevarria
• Alexey Santana Lorenzo
• Geily Santana Torres
• Yamilka Santana
• Kelvin Santiesteban
• Merlyn Santin
• Lianet Santos Gonzalez
• Yamel Santos Rivero
• Karla M Santos, MA

• Clinical Social Worker in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.