Vivian Vanessa Santiago, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080554-1 Issued in NY

Practice address

175 Fulton Ave
F.E.G.S. 3Rd Floor
Hempstead, NY 11550-3718

Phone

(516) 485-5710

Fax

(516) 485-4225

NPI assigned

Jan 22, 2008

Last updated

Apr 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NY

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Service League, Inc.

  • Community/Behavioral Health Agency
  • Huntington, NY
  • NPI 1528093242
  Medicare reassignment NPD

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1871770800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GREAT COVE LN",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117514505",
            "telephone_number": "516-485-5710",
            "fax_number": "516-485-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FULTON AVE",
            "address_2": "F.E.G.S. 3RD FLOOR",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503718",
            "telephone_number": "516-485-5710",
            "fax_number": "516-485-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "VIVIAN",
        "middle_name": "VANESSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "064342-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080554-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Samuel
• Nadine Samuelspink, RN
• Alyssa Sanchez, LMHC
• Youlu Sanon Succes, LPN
• Angela Y Santamaria, MSW
• Jacqueline Sanzari, CRC
• Margarita E Sarmiento, MS, SLP
• Carol Sasportas, MD
• Dina Jacqueline Sasson
• Treesa Joseph Scaria, FNP-BC, CPNP, RNC

• Clinical Social Worker in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.