Organization Active NPI

Therapy Room, Isai Serrano, Licensed Clinical Social Worker, Professional Corp

  • Clinical Social Worker
  • Bermuda Dunes, CA
National Provider Identifier
1396531919
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERAPY ROOM, ISAI SERRANO, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORP
Practice address
79505 Camelback Dr
Bermuda Dunes, CA 92203-1485
Phone
(657) 791-6082
NPI assigned
Apr 18, 2025
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Isai Serrano, LCSWNPI 1114487923
Title
Ceo
Phone
(760) 391-7108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

79505 Camelback Dr
Bermuda Dunes, CA 92203-1485

Mailing address

927 S Bruce St Apt 8
Anaheim, CA 92804-1113
Phone (657) 791-6082

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1396531919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 S BRUCE ST APT 8",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041113",
            "telephone_number": "657-791-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79505 CAMELBACK DR",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922031485",
            "telephone_number": "657-791-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY ROOM, ISAI SERRANO, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "ISAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-391-7108",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bermuda Dunes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.