Active NPI
Matthew Alexander Serda, A.S.W.
- Social Worker
- Santa Fe Springs, CA
National Provider Identifier
1518744598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW117768
- Practice address
- 11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674 - Phone
- (562) 949-8455
- NPI assigned
- Sep 12, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW117768 | CA | Primary |
Addresses
Primary practice location
11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674
Mailing address
9342 Pacific Ave
Anaheim, CA 92804-6373
Phone (562) 907-7466
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW117768 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luis Orozco Licensed Clinical Social Worker Inc. | Clinical | Past | 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.
-
dba Whittier Counseling Center
- Clinical Social Worker
- Whittier, CA
- NPI 1639633340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1518744598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9342 PACIFIC AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046373",
"telephone_number": "562-907-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11721 TELEGRAPH RD",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906703674",
"telephone_number": "562-949-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERDA",
"first_name": "MATTHEW",
"middle_name": "ALEXANDER",
"credential": "A.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-12",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW117768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.