Serena Clardie, LCSW, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SERENA CLARDIE, LCSW, LLC

Practice address

1110 N Old World 3Rd St Ste 401
Milwaukee, WI 53203-1117

Phone

(414) 708-3099

NPI assigned

May 25, 2020

Organization subpart

No

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

Authorized official

Name

Serena Clardie

Title

Psychotherapist/Owner

Phone

(414) 708-3099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1225651201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N OLD WORLD 3RD ST STE 401",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N OLD WORLD 3RD ST STE 401",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031117",
            "telephone_number": "414-708-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENA CLARDIE, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "CLARDIE",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "414-708-3099"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.