Active NPI
Serena S Paredes, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1124114459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 067137
- Practice address
- 329 E 62ND St
New York, NY 10021-7705 - Phone
- (212) 838-4333
- Fax
- (212) 838-7158
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 067137 | NY | Primary |
Addresses
Primary practice location
329 E 62ND St
New York, NY 10021-7705
Mailing address
2175 Cedar Ave
Apt 5B
Bronx, NY 10468-5504
Phone (347) 628-2001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067137 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124114459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 CEDAR AVE",
"address_2": "APT 5B",
"city": "BRONX",
"state": "NY",
"postal_code": "104685504",
"telephone_number": "347-628-2001",
"fax_number": "718-519-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 E 62ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100217705",
"telephone_number": "212-838-4333",
"fax_number": "212-838-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAREDES",
"first_name": "SERENA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "067137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.