Active NPI
Denise Jovita Serrato, LCSW, CASAC-T
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1154519924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 085167
- Practice address
- 667 S Vancouver Ave
Los Angeles, CA 90022-3217 - Phone
- (626) 825-3492
- NPI assigned
- Oct 5, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0879121 | NY | |
| Rehabilitation Practitioner | 225400000X | |||
| Clinical Social Worker | 1041C0700X | 085167 | NY | Primary |
Addresses
Primary practice location
667 S Vancouver Ave
Los Angeles, CA 90022-3217
Mailing address
4580 Broadway Apt 3L
New York, NY 10040-2119
Other practice location 1
81 W 115th St
New York, NY 10026-3138
Phone (212) 426-0088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0879121 | NY | MD | Social Worker |
| 085167 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colibri Wellness, LCSW, PLLC | Clinical | 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.
-
- Clinical Social Worker
- New York, NY
- NPI 1689394256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1154519924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4580 BROADWAY APT 3L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100402119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 S VANCOUVER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900223217",
"telephone_number": "626-825-3492"
}
],
"practiceLocations": [
{
"address_1": "81 W 115th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100263138",
"country_code": "US",
"telephone_number": "212-426-0088",
"fax_number": "212-426-8367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERRATO",
"first_name": "DENISE",
"middle_name": "JOVITA",
"credential": "LCSW, CASAC-T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "0879121",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00695941",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.