MRS. AUREA DE LOS SANTOS MSW
NPI 1497084636
Social Worker in Troy, NY

NPI Status: Active since December 17, 2009

Contact Information

2215 BURDETT AVE
TROY, NY
ZIP 12180
Phone: (518) 270-3008
Fax: (518) 271-3682

Get Directions Write a Review

  • Individual
  • Female
  • Years of Experience 18
  • Social Worker
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About AUREA DE LOS SANTOS

This page provides the complete NPI Profile along with additional information for Aurea De Los Santos, a provider established in Troy, New York with a medical specialization in Social Worker and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1497084636 assigned on December 2009. The practitioner's primary taxonomy code is 104100000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1497084636
Provider Name
MRS. AUREA DE LOS SANTOS MSW
Gender
Female
Entity Type
Individual
Location Address
2215 BURDETT AVE TROY, NY 12180
Location Phone
(518) 270-3008
Location Fax
(518) 271-3682
Mailing Address
PO BOX 14890 ALBANY, NY 12212
Mailing Phone
(518) 525-5634
Mailing Fax
(518) 271-3682
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
No
Enumeration Date
12-17-2009
Last Update Date
05-11-2021
Code Navigator

A social worker like Aurea De Los Santos helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

086478 (NY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Aurea De Los Santos is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Aurea De Los Santos is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 648527556

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20180724002511

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Psychotherapy, 30 minutes

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

This service was performed 61 times for 13 patients

Reviews for MRS. AUREA DE LOS SANTOS MSW

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497084636, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 0 + 8 + 8 + 6 + 6 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1497084636.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Therapeutic Radiology)
2215 BURDETT AVE, SAMARITIAN HOSPITAL CANCER CARE CENTER
TROY, NY 12180
Pathology (Anatomic Pathology & Clinical Pathology)
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Anesthesiology
2215 BURDETT AVE, SAMARITAN HOSPITAL
TROY, NY 12180
Emergency Medicine
2215 BURDETT AVE
TROY, NY 12180
Internal Medicine
2215 BURDETT AVE
TROY, NY 12180
Anesthesiology
2215 BURDETT AVE, SAMARITAN HOSPITAL
TROY, NY 12180
Anesthesiology
2215 BURDETT AVE, SAMARITAN HOSPITAL
TROY, NY 12180
Emergency Medicine
2215 BURDETT AVE
TROY, NY 12180
Psychiatry & Neurology (Psychiatry)
2215 BURDETT AVE
TROY, NY 12180
Psychologist
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
Social Worker (Clinical)
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
Psychologist
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
Social Worker (Clinical)
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
Psychiatry & Neurology (Psychiatry)
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
Social Worker (Clinical)
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
Social Worker (Clinical)
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
Social Worker (Clinical)
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
Social Worker (Clinical)
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
Psychiatry & Neurology (Psychiatry)
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497084636, enumerated as an "individual" on December 17, 2009.

The provider is located at 2215 BURDETT AVE TROY, NY 12180 and the phone number is (518) 270-3008.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.