SUSAN DE LOS SANTOS LCSW
NPI 1356630313
Social Worker - Clinical in Clinton, NJ
About Susan De Los Santos Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN DE LOS SANTOS LCSW (NPI 1356630313) is an individual clinical provider in Clinton, New Jersey, licensed in New Jersey (44SC05473000) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susan De Los Santos 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.
Medicare Billing Reassignments
3Medicare enrollment records show Susan De Los Santos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton, NJ 08809
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Lukes Warren Physician Group PC
- 528 clinicians in this Medicare group
Riegelsville, PA 18077
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Passaic, NJ 07055
- Reassigned Medicare billing, New Jersey enrollment
- 319 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08809 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLINTON, NJ 08809
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 Susan De Los Santos's NPI number?
The NPI number for Susan De Los Santos is 1356630313. It was assigned to this individual provider in the NPPES registry on March 30, 2011.
Where is Susan De Los Santos located?
Susan De Los Santos practices at 186 Center St Suite 250, Clinton, NJ 08809. The listed phone number is (908) 625-0364.
What is Susan De Los Santos's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Susan De Los Santos enrolled in Medicare?
Yes. Susan De Los Santos 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.
Which organizations bill Medicare for Susan De Los Santos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan De Los Santos reassigns Medicare benefits to 3 organizations: St. Luke's Warren Physician Group, PC (Clinton, NJ), St. Luke's Physician Group, Inc. (Riegelsville, PA) and Senior Care Therapy LLC (Passaic, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan De Los Santos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan De Los Santos accept?
Health plans from Oscar Health list Susan De Los Santos 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 Susan De Los Santos was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Susan De Los Santos, LCSW · NPI 1356630313
Clinical provider in Clinton, New Jersey. Individual provider, active in the CMS NPPES registry since March 30, 2011.
## Identity
- **NPI:** 1356630313 (Entity type: Individual)
- **Enumerated:** March 30, 2011
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 44SC05473000 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 186 CENTER ST, SUITE 250, Clinton, NJ 08809-1385
- **Phone:** (908) 625-0364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. Luke's Warren Physician Group, PC (NPI 1841650348, Clinton, NJ); St. Luke's Physician Group, Inc. (NPI 1700989613, Riegelsville, PA); Senior Care Therapy LLC (NPI 1285898098, Passaic, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** February 23, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1356630313) · Data from the CMS NPPES public registry.