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FIORDALISA R SANTIAGO LCSW PLLC
NPI 1962109819
Social Worker - Clinical in Bronx, NY

Active since February 10, 2023
2986 OTIS AVE # 1, BRONX, NY 10465(917) 796-6315(718) 822-0902 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2023, Feb 10, 2023 (2 updates tracked since 2023).

About Fiordalisa R Santiago Lcsw Pllc NPPES

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

FIORDALISA R SANTIAGO LCSW PLLC (NPI 1962109819) is a healthcare organization registered as a clinical in Bronx, New York and active in the NPI registry since February 2023. The organization lists Fiordalisa R Santiago, Lcsw-r, as its authorized official.

NPPES Registry Identity

NPI1962109819
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFIORDALISA R SANTIAGO LCSW PLLC
Location Address2986 OTIS AVE # 1Bronx, NY 10465-2138
Mailing Address2986 Otis Ave # 1Bronx, NY 10465-2138 · (917) 796-6315 · Fax (718) 822-0902
Phone(917) 796-6315
Fax(718) 822-0902
Organization SubpartNo
Authorized OfficialFiordalisa R SantiagoLcsw-r · (917) 796-6315
Enumeration DateFebruary 10, 2023
Last NPPES UpdateFebruary 13, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
✔ NPI 1962109819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
2986 OTIS AVE # 1, Bronx, NY 10465
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fiordalisa R Santiago Lcsw Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fiordalisa R Santiago Lcsw PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fiordalisa Santiago, LCSW-R
Clinical Social Worker
NPI 1801902036
6214 RIVERDALE AVE STE 2C
Bronx, NY 10471
(917) 796-6315
✔ PECOS✔ Accepts Medicare6.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fiordalisa R Santiago Lcsw PLLC's NPI number?

The NPI number for Fiordalisa R Santiago Lcsw PLLC is 1962109819. It was assigned to this organization in the NPPES registry on February 10, 2023.

Where is Fiordalisa R Santiago Lcsw PLLC located?

Fiordalisa R Santiago Lcsw PLLC is located at 2986 Otis Ave # 1, Bronx, NY 10465. The listed phone number is (917) 796-6315.

What is Fiordalisa R Santiago Lcsw PLLC's specialty?

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

Is Fiordalisa R Santiago Lcsw PLLC enrolled in Medicare?

Yes. Fiordalisa R Santiago Lcsw PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fiordalisa R Santiago Lcsw PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Fiordalisa R Santiago Lcsw PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fiordalisa R Santiago Lcsw PLLC was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.