Carley Marie Serena

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146015021 Issued in IL

Practice address

1900 Oxford Way
Joliet, IL 60431-7900

Phone

(815) 577-2021

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sweet Talk Speech Therapy, LLC

  • Speech-Language Pathologist
  • Plainfield, IL
  • NPI 1952058760
  NPD Authorized official

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1609414895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16624 S FOX RUN CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605869127",
            "telephone_number": "815-474-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OXFORD WAY",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604317900",
            "telephone_number": "815-577-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16624 S Fox Run Cir",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605869127",
            "country_code": "US",
            "telephone_number": "815-474-9277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERENA",
        "first_name": "CARLEY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146015021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Joseph Sefcik, D.D.S.
• Gabriel Antwi Seifah
• Senior Carestar LLC
• Senior Carestar LLC
• Senior Services Center of Will County
• Serenity Counseilng Services
• Jessica Serna
• Philip Serna, M.D.
• Service of Will, Grundy & Kankakee Counties, Inc
• Usha Setlur, M.D

• Speech-Language Pathologist in Joliet, IL
• Providers in Joliet, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.