Active NPI
Roberto J Cancel-Serrano, MA, TEP, LMSW, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1447828785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 093640
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871347237 | Other | FL | SOLUTIONSCREATIVA, 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075064 | NY | MD | Social Worker |
| 093640 | NY | MD | Clinical Social Worker |
| 24292 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solutionscreativa, LLC | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; 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.