Individual provider Active NPI

Alicia Santiago, L.C.S.W.

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1942430046
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW69181 Issued in CA
Practice address
522 S San Pedro St
Los Angeles, CA 90013-2102
Phone
(213) 486-4062
NPI assigned
Jul 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW69181 CA Primary

Addresses

Primary practice location

522 S San Pedro St
Los Angeles, CA 90013-2102

Mailing address

8933 Yolo Cir
1305A
Huntington Beach, CA 92646-8720
Phone (714) 625-5319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20220330002852 CA Practitioner - Clinical Social Worker 3274929286 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW69181CAMDClinical Social Worker
69181CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New U Therapy Center & Family Services Inc. CurrentSince Mar 1, 2022 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Feb 2, 2024 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

25000 Avenue Stanford
Ste 167
Valencia, CA 91355
Phone (661) 299-7033

31200 Via Colinas
Ste 202
Westlake Village, CA 91362
Phone (661) 299-7033

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1942430046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8933 YOLO CIR",
            "address_2": "1305A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926468720",
            "telephone_number": "714-625-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132102",
            "telephone_number": "213-486-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "ALICIA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW69181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.