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1871561316

NPI Code Detail

MEDICARE: VICKI A SANTOS MSW, LISW

MEDICARE: VICKI A SANTOS MSW, LISW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	I585	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000218888	OTHER	OH	ANTHEM PIN
2	Y301535	OTHER	OH	THE HEALTH PLAN PIN
3	212242	OTHER	OH	TRICARE/MHN PIN
4	129602	OTHER	OH	MOUNT CARMEL PIN (2)
5	6240602	OTHER	OH	UBH PIN
6	129601	OTHER	OH	MOUNT CARMEL PIN
7	2032242	OTHER	OH	CIGNA BH PIN
8	3733	OTHER	OH	FEI BH PIN
9	5137561	OTHER	OH	AETNA PIN
10	9071400	OTHER	OH	PRIVATE HLTHCARE SYS PIN
11	142338	OTHER	OH	COMPSYCH BH PIN

General Provider Information

NPI Number	:	1871561316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKI A SANTOS MSW, LISW

Provider Business Mailing Address
First Line	:	2550 KENLO WOODS DR
Second Line	:
City	:	NASHPORT
State	:	OH
Zip	:	43830-9756
Country	:	US
Telephone Number	:	740-454-2887
Fax Number	:

Provider Business Practice Location Address
First Line	:	2845 BELL ST
Second Line	:
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-1720
Country	:	US
Telephone Number	:	740-454-9766
Fax Number	:	740-588-6452

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	07/09/2007

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Directions to “ VICKI A SANTOS MSW, LISW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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