Individual provider Active NPI

Rebecca Ann Serfozo, LSW

  • Social Worker
  • Columbus, OH
National Provider Identifier
1336620368
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1490 E Main St
Columbus, OH 43205-2140
Phone
(614) 252-0731
NPI assigned
Aug 27, 2018
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

1490 E Main St
Columbus, OH 43205-2140

Mailing address

1490 E Main St
Columbus, OH 43205-2140
Phone (614) 252-0731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822002335 OH Practitioner - Clinical Social Worker 3274072236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Arian LLC CurrentSince May 1, 2024 Accepting new patients
Kaitlyn Cassidy LLC CurrentSince May 1, 2024 Accepting new patients
Re:Vibe Wellness Company LLC Social Worker Current Accepting new patients

Locations

3500 Lorain Ave
Ste 300
Cleveland, OH 44113
Phone (216) 250-1607

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1336620368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052140",
            "telephone_number": "614-252-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052140",
            "telephone_number": "614-252-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERFOZO",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.