Individual provider Active NPI

Nicole Serpa

  • Social Worker
  • Westwood, NJ
National Provider Identifier
1881200988
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
569 Broadway
Westwood, NJ 07675-1663
Phone
(201) 957-1800
NPI assigned
Sep 23, 2020
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

569 Broadway
Westwood, NJ 07675-1663

Mailing address

256 Washington St
Mount Vernon, NY 10553-1052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702003139 NJ Practitioner - Clinical Social Worker 4981117835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Behavioral Healthcare, Inc.Group PAC ID 4486640653, 23 clinicians

Practice addresses (Care Compare)

25 E Salem St
Hackensack, NJ 07601-7427
Phone (201) 646-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Healthcare, Inc. Social Worker CurrentSince Apr 14, 2025 Accepting new patients
The Guidance Center of Westchester CurrentSince May 16, 2021 Accepting new patients
Comprehensive Behavioral Healthcare, Inc. Social Worker PastSince Jun 4, 2023 Accepting new patients
The Guidance Center of Westchester, Inc PastSince Sep 1, 2020 Accepting new patients

Locations

25 E Salem St
Hackensack, NJ 07601
Phone (201) 546-5839

516 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 935-3322

256 Washington St
Mount Vernon, NY 10553
Phone (914) 297-3356

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1881200988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 WASHINGTON ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 BROADWAY",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751663",
            "telephone_number": "201-957-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERPA",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.