Serena Marie Baroudi

Primary specialty

Social WorkerTaxonomy code 104100000X

License

111667 Issued in NY

Practice address

159 W 127TH St
New York, NY 10027-3723

Phone

(212) 752-7575

NPI assigned

Sep 8, 2018

Last updated

Mar 7, 2024By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coordinated Behavioral Care Ipa Inc

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1457881443
  NPD (past)

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1730662529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 ARDEN ST APT 3N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401188",
            "telephone_number": "646-415-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 W 127TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273723",
            "telephone_number": "212-752-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 W 139th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100371508",
            "country_code": "US",
            "telephone_number": "212-632-4532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAROUDI",
        "first_name": "SERENA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-08",
        "last_updated": "2024-03-07",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen R Barone, M.D.
• Argelinda Baroni, MD
• Georges Baroody
• Tanaka Barosy, RN
• Ira Barouch, M.A.
• Katherine Barouh, M.S. CCC-SLP
• Dana A Barowsky, PSY.D.
• Brandon Barquin, PT, DPT
• Amy Carr Barr, LCSW
• Caitha Gene Barr, OTR/L

• Social Worker in New York, NY
• Providers in New York, 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 Mar 7, 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.

Verify at the official NPI Registry.