Active NPI
Brittany Serrano, LSW
- Social Worker
- Peoria, IL
National Provider Identifier
1124744230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150109025
- Practice address
- 7717 N Orange Prairie Rd
Peoria, IL 61615-9323 - Phone
- (309) 589-6800
- NPI assigned
- Oct 19, 2022
- 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 | 150109025 | IL | Primary |
Addresses
Primary practice location
7717 N Orange Prairie Rd
Peoria, IL 61615-9323
Mailing address
500 Hwy 89N
1B152
Prescott, AZ 86313
Phone (928) 445-4860
Other practice location 1
500 N US Highway 89
Prescott, AZ 86313-5001
Phone (928) 445-4860 ext. 6549
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 |
|---|---|---|---|
| 150109025 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danville Vamc | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Department of Veterans Affairs (VA) Pharmacy
- Peoria, IL
- NPI 1336197284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1124744230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HWY 89N",
"address_2": "1B152",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "928-445-4860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7717 N ORANGE PRAIRIE RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616159323",
"telephone_number": "309-589-6800"
}
],
"practiceLocations": [
{
"address_1": "500 N US Highway 89",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "863135001",
"country_code": "US",
"telephone_number": "928-445-4860 x6549",
"fax_number": "928-717-7586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERRANO",
"first_name": "BRITTANY",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150109025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.