Individual provider Active NPI

Roberto J Cancel-Serrano, MA, TEP, LMSW, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1447828785
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093640 Issued in NY
Practice address
205 Hudson St FL 9
New York, NY 10013-1810
Phone
(646) 941-7645
NPI assigned
Jun 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24292 FL
Social Worker 104100000X 075064 NY
Clinical Social Worker 1041C0700X 093640 NY Primary

Addresses

Primary practice location

205 Hudson St FL 9
New York, NY 10013-1810

Mailing address

14051 Arbor Pines Dr
Riverview, FL 33579-4118
Phone (347) 239-2686

Other practice location 1

14051 Arbor Pines Dr
Riverview, FL 33579-4118
Phone (347) 239-2686

Other practice location 2

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-3433

Other identifiers 1

IdentifierTypeStateIssuer
1871347237OtherFLSOLUTIONSCREATIVA, LLC

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
075064NYMDSocial Worker
093640NYMDClinical Social Worker
24292FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solutionscreativa, LLC Mental Health CurrentSince May 19, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786233600000",
    "number": "1447828785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14051 ARBOR PINES DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335794118",
            "telephone_number": "347-239-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HUDSON ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131810",
            "telephone_number": "646-941-7645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14051 Arbor Pines Dr",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335794118",
            "country_code": "US",
            "telephone_number": "347-239-2686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Tampa General Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063571",
            "country_code": "US",
            "telephone_number": "813-844-3433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANCEL-SERRANO",
        "first_name": "ROBERTO J",
        "credential": "MA, TEP, LMSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2026-08-09",
        "certification_date": "2026-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "24292",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "075064",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLUTIONSCREATIVA, LLC",
            "identifier": "1871347237",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.