Smana Seradieu, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

109789 Issued in NY

Practice address

109 16 176TH Street Jamaica
109 16 176TH Street Jamaica
Queens, NY 11433

Phone

(203) 818-3573

NPI assigned

Jul 30, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1245849710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 16 176TH STREET JAMAICA",
            "address_2": "109 16 176TH STREET JAMAICA",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11433",
            "telephone_number": "203-818-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 16 176TH STREET JAMAICA",
            "address_2": "109 16 176TH STREET JAMAICA",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11433",
            "telephone_number": "203-818-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERADIEU",
        "first_name": "SMANA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Queens",
            "affiliation": "N",
            "endpointDescription": "Mental Health Provider",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "109 16 176th Street Jamaica",
            "address_2": "109 16 176th Street Jamaica",
            "city": "Queens",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Haleema Sadia
• Sheeba Saji
• Munam Sami, MBBS
• Renee Schemitz, LCSW, CASAC
• Therese Joy Pescante Selor, P.T
• Irshaad Faraz Shaffeeullah, M.D.
• Nataliya Shaforost, NP
• Derek Tsai Shang, CRNP
• Meghana Sharma, DMD
• Zain Shehzad

• Social Worker in Queens, NY
• Providers in Queens, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.