1. Home
  2. Directory
  3. Pennsylvania
  4. Allentown
  5. Social Worker
  6. NPI Profile

PAULINA SANTIBANEZ LCSW
NPI 1174385546
Social Worker - Clinical in Allentown, PA

Active since January 30, 2024PECOS EnrolledAccepts Medicare Assignment
451 CHEW ST STE 403, ALLENTOWN, PA 18102(484) 526-2400 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paulina Santibanez Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULINA SANTIBANEZ LCSW (NPI 1174385546) is an individual clinical provider in Allentown, Pennsylvania, licensed in Pennsylvania (CW024342) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174385546
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePAULINA SANTIBANEZCredential: LCSW
Location Address451 CHEW ST STE 403Allentown, PA 18102-3424
Mailing Address451 Chew St Ste 403Allentown, PA 18102-3424 · (484) 526-2400
Phone(484) 526-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1174385546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW024342
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
451 CHEW ST STE 403, Allentown, PA 18102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paulina Santibanez Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527401363
PECOS Enrollment IDI20240208000853
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paulina Santibanez's NPI number?

The NPI number for Paulina Santibanez is 1174385546. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Paulina Santibanez located?

Paulina Santibanez practices at 451 Chew St Ste 403, Allentown, PA 18102. The listed phone number is (484) 526-2400.

What is Paulina Santibanez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Paulina Santibanez enrolled in Medicare?

Yes. Paulina Santibanez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paulina Santibanez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Providence Health Plan list Paulina Santibanez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paulina Santibanez was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.