Active NPI
Janetta Serano
- Clinical Social Worker
- Southlake, TX
National Provider Identifier
1851189609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 65605
- Practice address
- 191 W Southlake Blvd Ste 100
Southlake, TX 76092-7031 - Phone
- (817) 488-0502
- NPI assigned
- Apr 30, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 65605 | TX | Primary |
Addresses
Primary practice location
191 W Southlake Blvd Ste 100
Southlake, TX 76092-7031
Mailing address
5555 Amesbury Dr Apt 1107
Dallas, TX 75206-3053
Phone (469) 684-4303
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 |
|---|---|---|---|
| 65605 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1851189609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 AMESBURY DR APT 1107",
"city": "DALLAS",
"state": "TX",
"postal_code": "752063053",
"telephone_number": "469-684-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 W SOUTHLAKE BLVD STE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927031",
"telephone_number": "817-488-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERANO",
"first_name": "JANETTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "65605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.