MRS. KELLY SANTIAGO (LCSW) – Social Worker, NPI 1407315807

MRS. KELLY SANTIAGO (LCSW) is a healthcare provider. based in North dartmouth, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 222469 (MA). The NPI Number for MRS. KELLY SANTIAGO (LCSW) is 1407315807

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY SANTIAGO (LCSW)
NPI
1407315807
Phone
(508) 995-6400
Address
400 FAUNCE CORNER RD
Enumeration Date
15 March 2019
Last Update Date
15 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6178425683
Graduation Year
2016 (10 years ago)
PAC ID
9830548809
Group Practice PAC ID
7517310857
Professional Enrollment ID
I20231215002014
Address ID
MA027803201TA54XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MRS. KELLY SANTIAGO (LCSW)

  • Bristol County Jail and House of Correction (North Dartmouth), 400, Faunce Corner Road, Dartmouth, Bristol County, Massachusetts, 02747, United States

    NORTH DARTMOUTH, MA 027471275

    Phone: (508) 995-6400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231215002014IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02747)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517310857View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Nurse PractitionerMA
Nurse PractitionerPA
Clinical Social WorkerMA
Family Practice, Internal MedicineMA

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. KELLY SANTIAGO (LCSW)?
NPI 1407315807 is assigned to MRS. KELLY SANTIAGO (LCSW) under the national enumeration system.
Does this profile mean MRS. KELLY SANTIAGO (LCSW) is currently active?
Yes — MRS. KELLY SANTIAGO (LCSW) appears active in the national provider directory.
Does MRS. KELLY SANTIAGO (LCSW) list a primary specialty?
If you are matching referrals, note Social Worker for MRS. KELLY SANTIAGO (LCSW). Clinical services aligned with this taxonomy classification.
Where is MRS. KELLY SANTIAGO (LCSW)'s primary listing?
We display North Dartmouth, Massachusetts because that is what the record indicates for MRS. KELLY SANTIAGO (LCSW).
What if North Dartmouth, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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