Active NPI
Daniel Serpico, LCSW
- Clinical Social Worker
- Toms River, NJ
National Provider Identifier
1548640618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05809100
- Practice address
- 509 Main St
BLDG C
Toms River, NJ 08753-7402 - Phone
- (732) 773-8832
- NPI assigned
- Jun 4, 2015
- Last updated
- May 17, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05809100 | NJ | Primary |
Addresses
Primary practice location
509 Main St
BLDG C
Toms River, NJ 08753-7402
Mailing address
18 Starboard St
Beachwood, NJ 08722-2958
Phone (732) 773-8832
Other practice location 1
509 Main St
BLDG C
Toms River, NJ 08753-7402
Phone (732) 773-8832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181009000375 | NJ | Practitioner - Clinical Social Worker | 0345592077 | Practice locations: Toms River, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
509 Main St
BLDG C
Toms River, NJ 08753-7402
Phone (732) 773-8832
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05809100 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1548640618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 STARBOARD ST",
"city": "BEACHWOOD",
"state": "NJ",
"postal_code": "087222958",
"telephone_number": "732-773-8832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 MAIN ST",
"address_2": "BLDG C",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087537402",
"telephone_number": "732-773-8832"
}
],
"practiceLocations": [
{
"address_1": "509 MAIN ST",
"address_2": "BLDG C",
"address_purpose": "LOCATION",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087537402",
"country_code": "US",
"telephone_number": "732-773-8832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERPICO",
"first_name": "DANIEL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05809100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.