Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK DE SANTIS, LCSW
ActiveMR. JACK DE SANTIS, LCSW is a Clinical Social Worker healthcare provider located in COMMACK, New York. NPI 1245398197 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · COMMACK, NY
Registration Details
- NPI Number
- 1245398197
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.686983427117 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PR0047581 (NY)
Practice Information
- Address
-
368 VETERANS MEMORIAL HIGHWAYSUITE #1COMMACK, NY, 117254315Browse NY providers · Browse ZIP 11725
- Phone
- 6315438779
- Fax
- 6313618865
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in COMMACK, NY
| Name | Credential | NPI |
|---|---|---|
| MR. SAL C SANTINO | LCSW | 1619968831 |
| MRS. YELENA SHIK | R LCSW | 1093740508 |
| BRIAN M BALDWIN | LCSW | 1548288301 |
| MR. JOHN A CARERI | MSW | 1689693996 |
| MR. STEVEN GORDON | LCSWR | 1225045511 |
| MR. MICHAEL STUART BURNS | LCSW | 1114934478 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.