MARY DESANTIS (NPI# 1134631310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134631310 |
| Entity Type | Individual |
| Full Name | MARY DESANTIS |
| Other Name | MARY GOMEZ |
| Credential | LMSW |
| Practice Address |
3981 Buffalo Rd Newark NY 14513-9230 |
| Practice Telephone | 5857734396 |
| Mailing Telephone | 5857734396 |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2017-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18789 | NY | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 086207 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346786548 | Mary Desantis | Registered Nurse | 227 N 5th St, Reading, PA 19601-3303 | 2017-01-11 |
| 1275819419 | Mary Jean Desantis | Speech-Language Pathologist | 970 Route 146, Clifton Park, NY 12065-3643 | 2011-11-02 |
| Street Address |
3981 BUFFALO RD |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-9230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097018 | Joslainez Gonzalo | Social Worker | 47 Miller Street, Newark, NJ 07114 | 2020-09-14 |
| 1902410269 | Julia Hopkins | Social Worker | 2644 Capitol Trl Ste 250, Newark, DE 19711-7231 | 2020-09-03 |
| 1942826516 | Shondell White | Social Worker | 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 | 2020-06-19 |
| 1609499128 | Anika Tillery | Social Worker | 97 Summit Ave, Newark, NJ 07112-1212 | 2020-05-19 |
| 1497376388 | Colleen Marian Myrie | Social Worker | 25 Clifton Ave Apt D1812, Newark, NJ 07104-1855 | 2020-05-01 |
| 1184262438 | The Yearns Organization, LLC | Social Worker | 897 S 17th St, Newark, NJ 07108-1136 | 2019-12-17 |
| 1528603867 | Denise Edwards | Social Worker | 7b Queens Cir, Newark, DE 19702-9416 | 2019-11-11 |
| 1538679436 | Amanda E Gordy | Social Worker | 262 Chapman Rd Ste 100, Newark, DE 19702-5412 | 2017-10-05 |
| 1659880672 | Vanessa Latouche | Social Worker | 183 S Orange Ave. C-level, Newark, NJ 07101 | 2017-09-21 |
| 1952828964 | Stephen Craig Mcdonald | Social Worker | 15 N 3rd St Ste 200, Newark, OH 43055-5550 | 2017-08-30 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.