| Joe A. Santos, Acsw, Lcsw, Pllc | |
|
77 Calle Portal Suite C240 Sierra Vista AZ 85635-2986 | |
| (520) 456-5885 | |
| (520) 452-1447 |
| Full Name | Joe A. Santos, Acsw, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 77 Calle Portal, Sierra Vista, Arizona |
| Authorized Official Name and Position | Joe Anthony Santos (PROVIDER/OWNER) |
| Authorized Official Contact | 5204565885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joe A. Santos, Acsw, Lcsw, Pllc 1450 Sunflower Way Sierra Vista AZ 85635-5530 Ph: (520) 456-5885 | Joe A. Santos, Acsw, Lcsw, Pllc 77 Calle Portal Suite C240 Sierra Vista AZ 85635-2986 Ph: (520) 456-5885 |
| NPI Number | 1326496233 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 06/01/2016 |
| Medicare PECOS PAC ID | 8224329305 |
|---|---|
| Medicare Enrollment ID | O20160621000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326496233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | AZ LCSW 2033 (Arizona) | Primary |
| Provider Name | Joe Anthony Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306076732 PECOS PAC ID: 5092993147 Enrollment ID: I20110621000225 |
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