Organization Active NPI

Janet Santiago, LCSW

  • Clinical Social Worker
  • Stuart, FL
National Provider Identifier
1932651551
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10997 Issued in FL
Legal business name
JANET SANTIAGO, LCSW
Practice address
759 SW Federal Hwy
Suite 304
Stuart, FL 34994-2914
Phone
(772) 626-2321
Fax
(772) 800-3175
NPI assigned
Oct 31, 2016
Last updated
Jan 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Janet Santiago, LCSWNPI 1578865895
Title
Owner
Phone
(772) 626-2321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW10997 FL Primary

Addresses

Primary practice location

759 SW Federal Hwy
Suite 304
Stuart, FL 34994-2914

Mailing address

1102 SW Idol Ave
Port St Lucie, FL 34953-6816
Phone (772) 626-2321

Other identifiers 1

IdentifierTypeStateIssuer
018536200MedicaidFL

National Provider Directory

National Provider Directory

Locations

759 SW Federal Hwy
Ste 304
Stuart, FL 34994
Phone (772) 341-3431

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1932651551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 SW IDOL AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536816",
            "telephone_number": "772-626-2321",
            "fax_number": "772-800-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 SW FEDERAL HWY",
            "address_2": "SUITE 304",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942914",
            "telephone_number": "772-626-2321",
            "fax_number": "772-800-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET SANTIAGO, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-626-2321",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018536200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.