MRS. KELLY SANTIAGO (NPI# 1407315807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407315807 |
| Entity Type | Individual |
| Full Name | MRS. KELLY SANTIAGO |
| Credential | LCSW |
| Practice Address |
400 Faunce Corner Rd North Dartmouth MA 02747-1275 |
| Practice Telephone | 5089956400 |
| Mailing Telephone | 5089956400 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 222469 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LCSW | 222469 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538326863 | Kelly Lyn Santiago | Case Manager/Care Coordinator | 2121 Centerpointe Pkwy, Santa Maria, CA 93455-1331 | 2008-05-22 |
| 1043232374 | Kelly Santiago | Occupational Therapist | 3082 Caton Farm Rd, Joliet, IL 60435-1455 | 2006-07-24 |
| Street Address |
400 FAUNCE CORNER RD |
| City | NORTH DARTMOUTH |
| State | MA |
| Zip Code | 02747-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996161 | Ingrid C Rudie | Nurse Practitioner | 400 Faunce Corner Rd, North Dartmouth, MA 02747-1275 | 2020-09-11 |
| 1336635879 | Melissa Paige Shapiro | Counselor | 400 Faunce Corner Rd, North Dartmouth, MA 02747-1275 | 2018-07-09 |
| 1376900167 | Correctional Psychiatric Services | Clinic/Center | 400 Faunce Corner Rd, North Dartmouth, MA 02747-1275 | 2016-01-25 |
| 1801146998 | Andrew Joseph Hachey | Nurse Practitioner | 400 Faunce Corner Rd, North Dartmouth, MA 02747-1275 | 2012-09-15 |
| 1821119801 | Sally L Pettus | Psychologist | 400 Faunce Corner Rd, Sheriff's Office, North Dartmouth, MA 02747-1275 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
| 1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
| 1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
| 1033544846 | Blackstone Behavioral Health Services | Psychologist | 145k Faunce Corner Rd., North Dartmouth, MA 02747 | 2013-09-11 |
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
| 1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
| 1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
| Find all providers in zip 02747 | ||||
| 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 |
|---|---|---|---|---|
| 1124629126 | Megan Parker | Social Worker | 81 Fuller St, Waltham, MA 02453-5854 | 2020-11-05 |
| 1174124226 | Shane William Macdonald | Social Worker | 20 Stearns Ave, Medford, MA 02155-5620 | 2020-11-05 |
| 1962003970 | James Noah Greear V | Social Worker | 82 Brainerd Rd Apt 12, Allston, MA 02134-4555 | 2020-11-05 |
| 1275134389 | Benjamin William Swierk | Social Worker | 140 South St, Jamaica Plain, MA 02130-3816 | 2020-11-04 |
| 1518568955 | Melanie Hanson | Social Worker | 47 West St Fl 4, Boston, MA 02111-1219 | 2020-11-03 |
| 1386244051 | Leslie Ann Maxwell | Social Worker | 76 Ferry Hill Road, Marshfield, MA 02050 | 2020-10-30 |
| 1982202032 | Makayla Davis | Social Worker | 43 Kinnaird St, Cambridge, MA 02139-3127 | 2020-10-12 |
| 1205434479 | Kiamesha Dolson-ostrander | Social Worker | 14 Page Ter Ste 2a, Stoughton, MA 02072-4602 | 2020-10-11 |
| 1912505132 | Briana Marie Wiley | Social Worker | 4 Bedford Vlg Apt B, Bedford, MA 01730-1714 | 2020-10-09 |
| 1164029153 | Maria J Matos | Social Worker | 20 E Brookline St Apt 73, Boston, MA 02118-4309 | 2020-10-03 |
| Find all providers with the same taxonomy | ||||
| City | NORTH DARTMOUTH |
| Zip Code | 02747 |
Please comment or provide details below to improve the information on MRS. KELLY SANTIAGO.
| 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.