Cynthia Serure, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5708 Issued in FL

Practice address

4617 Adams St
Hollywood, FL 33021-7608

Phone

(305) 773-5876

NPI assigned

Mar 6, 2007

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment NPD
• A Gift for the Soul, Inc.

  • Community/Behavioral Health Agency
  • Hollywood, FL
  • NPI 1932720729
  NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588464000000",
    "number": "1346379062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 ADAMS ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217608",
            "telephone_number": "305-773-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 ADAMS ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217608",
            "telephone_number": "305-773-5876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Brickell Avenue",
            "address_2": "507",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33129",
            "country_code": "US",
            "telephone_number": "305-773-5876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERURE",
        "first_name": "CYNTHIA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "5708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7679891  00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024720800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Gardens Retirement Home, Inc.
• Serenity Shift Wellness Center Inc
• Serenity Springs Living Facilities, Inc (Sunny Days Assisted Living Facility)
• Krystina Serpa
• Sonia Maria Serpa
• Service World Community Corp.
• Talia Sessel
• Walter Severyn, M.D.
• Melissa Jane Sevestre, MOT OTRL
• SF Medicine LLC

• Clinical Social Worker in Hollywood, FL
• Providers in Hollywood, 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 May 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.