Jennifer Serene, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10941 Issued in MD

Practice address

2121 Folkstone Rd
Timonium, MD 21093-3312

Phone

(410) 446-2295

NPI assigned

Feb 1, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  FL, MD

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391212800000",
    "number": "1053734624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 FOLKSTONE RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933312",
            "telephone_number": "410-446-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 FOLKSTONE RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933312",
            "telephone_number": "410-446-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERENE",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-01",
        "last_updated": "2014-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4109972257",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James John Sciubba, D.M.D., PH.D.
• Rashard Scott
• Taylor Ivana Seaton, LMSW
• Jorge C. Secada-Lovio, M.D.
• Carol E. Seddon
• Katherine Libertini Serio, NP
• Kamal Salah H Sewaralthahab, M.D
• Ashley Nicole Shaffer, CRNP
• Advait V. Shah, DMD
• Vidisha Sharma, DMD

• Clinical Social Worker in Timonium, MD
• Providers in Timonium, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.