Shellawn Serrett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090506 Issued in NY

Practice address

10723 154TH St
Jamaica, NY 11433-1919

Phone

(347) 443-8492

NPI assigned

Oct 5, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1861164188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10723 154TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10723 154TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331919",
            "telephone_number": "347-443-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRETT",
        "first_name": "SHELLAWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PHONE",
            "affiliation": "N",
            "endpointDescription": "DIRECT ACCESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10723 154th St",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114331919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Amneris Serrano
• Mame Serwah-Boah, RN
• Haja Salamatu Sesay
• Mariella Sesbreno, PT
• Arshia Kaur Sethi
• Suman Kumari Sethi, OT

• Clinical Social Worker in Jamaica, NY
• Providers in Jamaica, 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 Dec 19, 2022; 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.