Jennifer J Serratore, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016432 Issued in PA

Practice address

1601 Walnut St Ste 608
Philadelphia, PA 19102-2904

Phone

(267) 970-1804

Fax

(215) 437-7054

NPI assigned

Jan 22, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1114258647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 HARTEL AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113530",
            "telephone_number": "267-970-1804",
            "fax_number": "215-437-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 608",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022904",
            "telephone_number": "267-970-1804",
            "fax_number": "215-437-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRATORE",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Serper, MD
• Scott Patrick Serpico, DO
• Arianne Melissa Serrano, DO
• Natasha Serrano, MSW,LCSW
• Ashlee Elizabeth Serrao, DNP, CRNP, FNP-C
• Nicolette Carolyn Serratore, PA-C
• Ellie Serres, PA-C
• Jesse Serrins, D.O.
• Gabriella Serruya-Green, PSYD
• Mijail D. Serruya, MD

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.