Serena Furnari, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089-0134140 Issued in VT

Practice address

107 Fisher Pond Rd
Saint Albans, VT 05478

Phone

(802) 524-6554

Fax

(802) 524-6562

NPI assigned

Oct 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1124578539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FISHER POND RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786286",
            "telephone_number": "802-524-6554",
            "fax_number": "802-524-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FISHER POND RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "802-524-6554",
            "fax_number": "802-524-6562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Edward Hines JR VA Hospital",
            "address_2": "5000 S 5th Avenue",
            "address_purpose": "LOCATION",
            "city": "Hines",
            "state": "IL",
            "postal_code": "601413127",
            "country_code": "US",
            "telephone_number": "708-202-3922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURNARI",
        "first_name": "SERENA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150015417",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0134140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin County Pediatrics
• Franklin County Rehab Center, LLC
• Franklin County Surgical Associates, P. C.
• Freedom Medical LLC
• Jodi Ann Frei, PT
• Emily Gaeta
• Robin K Galbraith, PSY. MA
• Jaime Lynn Galley
• Priscilla Ann Galloway, PT
• Leslie Gardzina, RD, CD, CDE

• Clinical Social Worker in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.