Active NPI
Charlotte Sere, L.C.S.W.
- Behavior Analyst
- Chicago, IL
National Provider Identifier
1831547165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 149000421
- Practice address
- 1400 E 55TH PL
615 S
Chicago, IL 60637-1876 - Phone
- (773) 752-1926
- Fax
- (773) 752-1926
- NPI assigned
- May 26, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 149000421 | IL | Primary |
Addresses
Primary practice location
1400 E 55TH PL
615 S
Chicago, IL 60637-1876
Mailing address
1400 E 55TH PL
615 S
Chicago, IL 60637-1876
Phone (773) 752-1926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149000421 | IL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1831547165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E 55TH PL",
"address_2": "615 S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371876",
"telephone_number": "773-752-1926",
"fax_number": "773-752-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E 55TH PL",
"address_2": "615 S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371876",
"telephone_number": "773-752-1926",
"fax_number": "773-752-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERE",
"first_name": "CHARLOTTE",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "149000421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.