Individual provider Active NPI

Serena Woroglian, M.A.

  • Mental Health Counselor
  • Mamaroneck, NY
National Provider Identifier
1437543824
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006353-1 Issued in NY
Practice address
933 Mamaroneck Ave
Suite 202
Mamaroneck, NY 10543-1662
Phone
(917) 724-1881
Fax
(914) 698-5571
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 006353-1 NY Primary

Addresses

Primary practice location

933 Mamaroneck Ave
Suite 202
Mamaroneck, NY 10543-1662

Mailing address

39 Grand St
Apt 3408
Mamaroneck, NY 10543-1992
Phone (917) 724-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
006353-1NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1437543824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GRAND ST",
            "address_2": "APT 3408",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431992",
            "telephone_number": "917-724-1881",
            "fax_number": "914-698-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 MAMARONECK AVE",
            "address_2": "SUITE 202",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431662",
            "telephone_number": "917-724-1881",
            "fax_number": "914-698-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOROGLIAN",
        "first_name": "SERENA",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006353-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.