Nadly Senatus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW14604 Issued in FL

Practice address

20623 NW 11TH Ave
Miami Gardens, FL 33169-2344

Phone

(305) 767-3886

NPI assigned

Jul 21, 2021

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

Other identifiers 2

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1174196844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19821 NW 2ND AVE # 217",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331693341",
            "telephone_number": "305-767-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20623 NW 11TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692344",
            "telephone_number": "305-767-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENATUS",
        "first_name": "NADLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA CERTIFICATION BOARD",
            "identifier": "CBHCM102266",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "SW14604",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tianna A Saunders-Ivory
• Savico Medical Associates, Inc.
• Second Chance Alf, Inc
• Precious Seldon
• Self-Care Bracing, Inc
• Seniors Care Mental Services Corp
• Sentry Project LLC
• Serene Therapy Solutions LLC
• Serenity Support House LLC
• Yesenia Serra Rivas

• Clinical Social Worker in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.