John Avallone-Serra, LCSW-R

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R046838 Issued in NY

Practice address

196 Delaware Ave
Delmar, NY 12054-1227

Phone

(518) 439-0033

Fax

(518) 439-7167

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

No

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

Enrolled in NY

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

New York University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cca Wellness Network Ipa LLCGroup PAC ID 2961893623, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Cca Wellness Network Ipa LLC

  • Counselor
  • Delmar, NY
  • NPI 1992468813
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1659364982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051119",
            "telephone_number": "518-374-7555",
            "fax_number": "518-374-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541227",
            "telephone_number": "518-439-0033",
            "fax_number": "518-439-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALLONE-SERRA",
        "first_name": "JOHN",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R046838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Hune, DPM PLLC
• Joseph W Angelotti, LMT
• Ann Carey Tobin, M.D., PLLC
• Michael Ashline, D.C.
• Brenda Amelia Asmara
• Barbara F Pats PHD Psychologist PLLC
• Kaitlin Jessica Bell Barnett, LCSW
• Marino Baselice
• Elizabeth Beagle, LMHC
• Laurie Ellen Beberwyck

• Social Worker in Delmar, NY
• Providers in Delmar, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.

Verify at the official NPI Registry.