Individual provider Active NPI

William J. Serafin, LCSW

  • Social Worker
  • Cohoes, NY
National Provider Identifier
1114087756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
PR003511-1 Issued in NY
Practice address
525 Columbia St
Cohoes, NY 12047-3806
Phone
(518) 785-0233
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X PR003511-1 NY Primary

Addresses

Primary practice location

525 Columbia St
Cohoes, NY 12047-3806

Mailing address

525 Columbia St
Cohoes, NY 12047-3806
Phone (518) 785-0233

Other identifiers 1

IdentifierTypeStateIssuer
PR003511-1OtherNYLCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000131 NY Practitioner - Clinical Social Worker 0143130575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Koinonia Primary Care IncGroup PAC ID 6901041425, 5 clinicians

Practice addresses (Care Compare)

553 Clinton Ave
Albany, NY 12206-2738
Phone (518) 689-0282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR003511-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Koinonia Primary Care Inc CurrentSince Jan 5, 2013 Accepting new patients

Locations

553 Clinton Ave
Albany, NY 12206
Phone (518) 462-3047

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBHGAA

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114087756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 COLUMBIA ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120473806",
            "telephone_number": "518-785-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 COLUMBIA ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120473806",
            "telephone_number": "518-785-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFIN",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "PR003511-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "PR003511-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohoes, NY

Sources for this page

Verify at the official NPI Registry.