SUSAN DE LOS SANTOS LCSW
NPI 1356630313
Social Worker - Clinical in Clinton, NJ

Active since March 30, 2011PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
186 CENTER ST, SUITE 250, CLINTON, NJ 08809(908) 625-0364 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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

NPI1356630313
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN DE LOS SANTOSCredential: LCSW
Location Address186 CENTER ST, SUITE 250Clinton, NJ 08809-1385
Mailing Address186 Center St, Suite 250Clinton, NJ 08809-1385 · (908) 625-0364
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 30, 2011
Last NPPES UpdateFebruary 23, 2017
✔ NPI 1356630313 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 NJ · 44SC05473000
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.
186 CENTER ST, Clinton, NJ 08809

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

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.

PECOS PAC ID2769717495
PECOS Enrollment IDI20190717001568
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, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
116 services13 patients

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.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

Chiropractor
186 CENTER ST
CLINTON, NJ 08809
Optometrist
186 CENTER ST, SUITE 170
CLINTON, NJ 08809
Chiropractor
186 CENTER ST
CLINTON, NJ 08809
Physical Therapist
186 CENTER ST
CLINTON, NJ 08809
Psychologist
186 CENTER ST, SUITE 295
CLINTON, NJ 08809
Counselor (Professional)
186 CENTER ST, SUITE 200
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.

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.