National Provider Identifier
Tina Michelle Di Santo, LCSW-R
Tina Michelle Di Santo, LCSW-R is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 922-2561.
Profile Overview
- NPI
- 1134397003
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- February 13, 2008
- Last Updated
- November 09, 2018
Practice Location
- 490 E Ridge RD
- Rochester, NY 14621-1229
Phone: (585) 922-2561
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Social Worker (104100000X)
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1134397003
- Entity Type
- Individual
- Last Name
- Di Santo
- First Name
- Tina
- Middle Name
- Michelle
- Credential
- LCSW-R
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-3144
- Mailing Fax
- (585) 922-1399
- Practice Street Address
- 490 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1229
- Practice Country
- US
- Practice Phone
- (585) 922-2561
- Enumeration Date
- February 13, 2008
- Last Updated
- November 09, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 3
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Clinical Social Worker (1041C0700X), Social Worker (104100000X)