Damaris Santiago, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009366 Issued in VA

Practice address

3068 Kenelm Dr
Chesapeake, VA 23323-2841

Phone

(973) 670-2265

NPI assigned

Jun 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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 and National Provider Directory roles.

• Light and Life Therapy LLC

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1578261855
  Medicare reassignment NPD
• Aya Ventures LCC

  • Clinical Social Worker
  • Chesapeake, VA
  • NPI 1033787007
  NPD Authorized official

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1942651161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 KENELM DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232841",
            "telephone_number": "973-670-2265",
            "fax_number": "757-493-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3068 KENELM DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232841",
            "telephone_number": "973-670-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "DAMARIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861562472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paola Guadalupe Sanchez Rodriguez
• Jenni Rae Sanderlin, M.S., CCC-SLP
• Lori Catherine Sandoval, MSCCCSLP
• Thomas Newton Santa Jr., FNP, ACNP
• Tirza S Santiago-Rodriguez, M.D.
• Jacqueline A Santiago, PT, DPT
• Nelson V Santiago, P.A.
• Arrielle Deziure Santiful
• Eric C Santjer, DC
• Suzanne M Santjer, DC

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.