IndividualActive
Rose Vazquez-Santiago, LCSW,ACSW
NPI 1639102403 · Clinical Social Worker · Wallingford, CT
Provider details
- NPI number
- 1639102403
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW,ACSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 00-388689 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
50 Gaylord Farm Rd
Wallingford, CT 06492-2899
Phone: (203) 284-2800
Fax: (203) 294-8734
Street-level locationGet directions
Mailing address
Po Box 400
Wallingford, CT 06492-7048
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2021-05-27
- Certified
- 2021-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.