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MR. JACK DE SANTIS LCSW
NPI 1245398197
Social Worker - Clinical in Commack, NY

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
368 VETERANS MEMORIAL HIGHWAY, SUITE #1, COMMACK, NY 11725(631) 543-8779(631) 361-8865 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jack De Santis Lcsw NPPES

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

MR. JACK DE SANTIS LCSW (NPI 1245398197) is an individual clinical provider in Commack, New York, licensed in New York (PR0047581) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1967).

NPPES Registry Identity

NPI1245398197
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JACK DE SANTISCredential: LCSW
Location Address368 VETERANS MEMORIAL HIGHWAY, SUITE #1Commack, NY 11725-4315
Mailing Address414 Ridgefield RoadHauppauge, NY 11788-2312 · (631) 361-8865 · Fax (631) 361-8865
Phone(631) 543-8779
Fax(631) 361-8865
Sole ProprietorNo
Medical School CMSOtherGraduated 1967
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245398197 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 NY · PR0047581
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.
368 VETERANS MEMORIAL HIGHWAY, Commack, NY 11725
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Other Identifiers 2

Medicare UPINR45846
Medicare ID-Type UnspecifiedN01491NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Mr. Jack De Santis 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 ID6901851393
PECOS Enrollment IDI20050318000258
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
249 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 Jack De Santis's NPI number?

The NPI number for Jack De Santis is 1245398197. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Jack De Santis located?

Jack De Santis practices at 368 Veterans Memorial Highway Suite #1, Commack, NY 11725. The listed phone number is (631) 543-8779.

What is Jack De Santis's specialty?

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

Is Jack De Santis enrolled in Medicare?

Yes. Jack De Santis 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 Jack De Santis accept?

Health plans from Providence Health Plan list Jack De Santis 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 Jack De Santis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.