Serena C Clardie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6998-123 Issued in WI

Practice address

6980 N Port Washington Rd
#202
Milwaukee, WI 53217-3921

Phone

(414) 351-7100

Fax

(414) 247-4082

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Riverwalk Psychotherapy Associates, LLC

  • Clinic/Center
  • Milwaukee, WI
  • NPI 1598178170
  NPD Authorized official
• Aurora Psychiatric Hospital, Inc.

  • Psychiatric Hospital
  • Wauwatosa, WI
  • NPI 1881627438
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891704854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "414-647-6326",
            "fax_number": "414-671-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6980 N PORT WASHINGTON RD",
            "address_2": "#202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532173921",
            "telephone_number": "414-351-7100",
            "fax_number": "414-247-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARDIE",
        "first_name": "SERENA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6998-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CJS Carecruiser LLC
• CJS Solution to Depression & Anxiety
• Puneet Clair, DDS
• Frank James Clancy
• Alberto C Clar, MD
• Clarissa Marie Lawrence
• Clarity Counseling LLC
• Clarity Home Health Care LLC
• Amanda Clark-Krause, NP
• Ajani Shakir Clark

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.