Innovative Counseling LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73-069744 Issued in NY

Legal business name

INNOVATIVE COUNSELING LCSW PLLC

Practice address

2127 Crompond Rd Ste 102
Cortlandt Manor, NY 10567-4334

Phone

(914) 788-8400

Fax

(914) 788-6781

NPI assigned

Apr 29, 2009

Last updated

Sep 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Serrano, LCSWNPI 1093781221

Title

Ceo

Phone

(914) 788-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Serrano, LCSW

  • Clinical Social Worker
  • Cortlandt Manor, NY
  • NPI 1093781221
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1770727182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 CROMPOND RD STE 102",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674328",
            "telephone_number": "914-788-8400",
            "fax_number": "914-788-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 CROMPOND RD STE 102",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674334",
            "telephone_number": "914-788-8400",
            "fax_number": "914-788-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-788-8400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73-069744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02266966",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonie Elizabeth Hurdle, RN
• Hope Gail Hutner
• Kathleen Marie Huvane, PHYSICAL THERAPIST
• Raymond Iannaccone, MD
• Laura Innes, RN
• Inor Dental PC (Northern West Chester Dental)
• Integrated Pathology Services
• Gloria Helen Jackman, M.S. L.AC.
• Essam Jacob, M.D.
• Jubie Jacob, PA-C

• Clinical Social Worker in Cortlandt Manor, NY
• Providers in Cortlandt Manor, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.